Robert R. Carlisle, D.d.s.

NPI #1477755338 in Benton, Arkansas

Provider Information

NPI Number: 1477755338
Entity Type: Organization
Organization Name: Robert R. Carlisle, D.d.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 818 W SOUTH ST
City: Benton
State: Arkansas
ZIP Code: 72015-4162
Phone: (501) 776-0564

Authorized Official

Name: ROBERT R. CARLISLE
Title: OWNER
Phone: (501) 776-0564

Specialties & Taxonomy Codes

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

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