Main Street Dental Pllc Dental Clinic

Get detailed information about Main Street Dental Pllc dental clinic in Bentonville Arkansas.
Main Street Dental Pllc (MAIN STREET DENTAL PLLC) is a Dental Clinic in Bentonville, Arkansas. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Main Street Dental Pllc is 1972930295.

The current location address for Main Street Dental Pllc is 312 S Main St, , Bentonville, Arkansas and the contact number is 479-254-6899 and fax number is 479-254-6749. The mailing address for Main Street Dental Pllc is 312 S Main St, , Bentonville, Arkansas - 72712-5903 (mailing address contact number - 479-254-6899).


Provider Profile Details:
Clinic NameMain Street Dental Pllc
Provider OrganizationMAIN STREET DENTAL PLLC
Address312 S Main St, ,
Bentonville
Arkansas, 72712-5903
Phone Number479-254-6899
Fax Number479-254-6749
Authorized Official NameBenjamin D. Hall
Authorized Official Title/PositionMember/manager
Authorized Official Contact Number479-254-6899
NPI Number Details:
NPI Number1972930295
Provider Enumeration Date10/01/2013
Last Update Date05/04/2021
Provider Business Mailing Address Details:
Address312 S Main St,
CityBentonville
StateArkansas
Zip72712-5903
Phone Number479-254-6899
Fax Number479-254-6749
Provider's Primary Taxonomy Details:
TypeAmbulatory Health Care Facilities
SpecialityClinic/center - Dental
Taxonomy261QD0000X
Licence No.3599 (Arkansas)

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