Southern Dental of Fort Smith Pllc
NPI #1003302761 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1003302761
- Entity Type
- Organization
- Organization Name
- Southern Dental of Fort Smith Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 6, 2018
- Last Updated
- Jul 6, 2018
Practice Location
- Address
- 4208 JENNY LIND RD
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-7660
- Phone
- (479) 782-3400
Authorized Official
- Name
- DR. WILLIAM REYNOLDS LITTLE, DDS
- Title
- OWNER
- Phone
- (870) 243-4406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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