River Valley Dental Group Pllc

NPI #1376808394 in Fort Smith, Arkansas

Provider Information

NPI Number: 1376808394
Entity Type: Organization
Organization Name: River Valley Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 5, 2012
Last Updated: Mar 2, 2021

Practice Location

Address: 8309 PHOENIX AVENUE
City: Fort Smith
State: Arkansas
ZIP Code: 72903
Phone: (479) 646-0706

Authorized Official

Name: CHARLES G LIGGETT JR., DDS
Title: PARTNER/OWNER
Phone: (479) 646-0706

Specialties & Taxonomy Codes

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

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