Ozark Modern Dentistry, Pllc

NPI #1497427017 in Lowell, Arkansas

Provider Information

NPI Number: 1497427017
Entity Type: Organization
Organization Name: Ozark Modern Dentistry, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 1, 2021
Last Updated: Oct 1, 2021

Practice Location

Address: 101 GRANT PLACE SUITE C
City: Lowell
State: Arkansas
ZIP Code: 72745
Phone: (214) 620-4268

Authorized Official

Name: CHELSEA NICHOLE KNOX, DDS
Title: OWNER
Phone: (214) 620-4268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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