Bold Dental Partners, Pllc Ft. Smith
NPI #1063820215 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1063820215
- Entity Type
- Organization
- Organization Name
- Bold Dental Partners, Pllc Ft. Smith
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOLD DENTAL PARTNERS, PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 31, 2014
- Last Updated
- Jul 31, 2014
Practice Location
- Address
- 8309 PHOENIX AVE
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-6141
- Phone
- (479) 484-7645
Authorized Official
- Name
- JACLYN WHITE
- Title
- CREDENTIALING MANAGER
- Phone
- (479) 717-1047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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