Ut Pediatric Dentistry

NPI 1407988116 - Dentist - 1223P0221X

NPI Details
NPI 1407988116
Enumeration Date 03/09/2007
Last Updated 03/19/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SANFORD JAY SANFORD
Position CHAIR
Phone (870) 733-3854
Fax (870) 733-3851
Practice Location
200 W TYLER AVE
WEST MEMPHIS AR, 72301-4223, US
Phone (870) 733-3854
Fax (870) 733-3851
Business Location
200 W TYLER AVE
WEST MEMPHIS AR, 72301-4223, US
Phone (870) 733-3854
Fax (870) 733-3851
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
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According to our database, Ut Pediatric Dentistry NPI is 1407988116, taxonomy code is 1223P0221X Ut Pediatric Dentistry physically located at 200 W Tyler Ave, West Memphis AR, 72301-4223. NPI Number 1033115704 has the healthcare provider type.

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1407988116 NPI number is provided on an as is basis without warranty of any kind. 1407988116 is maintained by the National Plan & Provider Enumeration System. The contents of Ut Pediatric Dentistry are for informational purposes only.