Weekend Dental Clinic

NPI #1083869911 in Fort Smith, Arkansas

Provider Information

NPI Number: 1083869911
Entity Type: Organization
Organization Name: Weekend Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 19, 2008
Last Updated: Nov 19, 2008

Practice Location

Address: 5111 ROGERS AVE
Address 2: SUITE 207
City: Fort Smith
State: Arkansas
ZIP Code: 72903-2047
Phone: (479) 719-0753

Authorized Official

Name: DR. CHARLES GREGORY LIGGETT JR., DDS
Title: OWNER
Phone: (479) 719-0753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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