Southern Dental Group, Pllc

NPI #1134597206 in Wynne, Arkansas

Provider Information

NPI Number: 1134597206
Entity Type: Organization
Organization Name: Southern Dental Group, Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 8, 2015
Last Updated: Sep 8, 2015

Practice Location

Address: 2100 KILLOUGH RD N
City: Wynne
State: Arkansas
ZIP Code: 72396-1009
Phone: (870) 243-4406

Authorized Official

Name: DR. WILLIAM REYNOLDS LITTLE, D.D.S.
Title: OWNER
Phone: (870) 243-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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