Bethel Burris Oliver Pllc

NPI #1225409170 in Bentonville, Arkansas

Provider Information

NPI Number: 1225409170
Entity Type: Organization
Organization Name: Bethel Burris Oliver Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Oct 16, 2015
Last Updated: Oct 16, 2015

Practice Location

Address: 3000 MEDICAL CENTER PKWY
City: Bentonville
State: Arkansas
ZIP Code: 72712-3217
Phone: (479) 445-6335

Authorized Official

Name: BENJAMIN BURRIS, DDS, MDS
Title: OWNER
Phone: (479) 445-6335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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