Nick Grote Family Dental PA

NPI #1801317375 in Van Buren, Arkansas

Provider Information

NPI Number
1801317375
Entity Type
Organization
Organization Name
Nick Grote Family Dental PA
Subpart
Yes (part of a larger organization)
Parent Organization
NICK GROTE FAMILY DENTAL PA
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Jul 5, 2017
Last Updated
Mar 17, 2018

Practice Location

Address
611 JEFFERSON ST
ZIP Code
72956-5159
Phone
(479) 474-2701

Authorized Official

Name
NICHOLAS GROTE, DDS
Title
OWNER/DENTIST
Phone
(479) 806-6556

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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