Main Street Dental Gps, Pllc
NPI #1386268696 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1386268696
- Entity Type
- Organization
- Organization Name
- Main Street Dental Gps, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 2, 2020
- Last Updated
- Jun 2, 2020
Practice Location
- Address
- 312 S MAIN ST
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-5903
- Phone
- (479) 254-6899
Authorized Official
- Name
- DR. WILLIAM R LITTLE, DDS
- Title
- CO-OWNER
- Phone
- (870) 243-4406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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