Bold Dental Fort Smith West
NPI #1669841946 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1669841946
- Entity Type
- Organization
- Organization Name
- Bold Dental Fort Smith West
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOLD DENTAL PARTNERS, PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 17, 2015
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4208 JENNY LIND RD
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-7660
- Phone
- (479) 782-3400
Authorized Official
- Name
- WENDY PEDUTO
- Title
- TRANSITION MANAGER
- Phone
- (501) 436-0518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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