Bethel Burris Oliver Pllc
Orthodontics and Dentofacial Clinic
4375 N Vantage Dr, Suite 202, Fayetteville
Arkansas, 72703-4982
870-972-8294 870-735-7853
Maps & DirectionsBethel Burris Oliver Pllc is a Orthodontics and Dentofacial Clinic in Fayetteville, Arkansas. It is located at 4375 N Vantage Dr, Suite 202, Fayetteville, AR and its contact number is 870-972-8294. The authorized person for Bethel Burris Oliver Pllc is Dr. Benjamin G Burris
who is Owner of the clinic and their contact number is 870-972-8294. The primary license number for Bethel Burris Oliver Pllc is 3465 (Orthodontics and Dentofacial Orthopedics) in Arkansas.
Bethel Burris Oliver Pllc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Bethel Burris Oliver Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bethel Burris Oliver Pllc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4375 N Vantage Dr, Suite 202, Fayetteville,
Arkansas, 72703-4982 |
| Phone: | 870-972-8294 |
| Fax: | 870-735-7853 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Benjamin G Burris |
| Position: | Owner |
| Contact Number: | 870-972-8294 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bethel Burris Oliver Pllc clinic are as mentioned below.
| NPI Number: | 1487095139 |
| NPI Enumeration Date: | 10 Jul, 2013 |
| NPI Last Update On: | 04 May, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bethel Burris Oliver Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 3465 | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 190787631 | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bethel Burris Oliver Pllc
126 W Bond Ave,
West Memphis, Arkansas |
| Zip: | 72301-3909 |
| Phone Number: | 870-972-8294 |
| Fax Number: | 870-735-7853 |
Patients can reach Bethel Burris Oliver Pllc at
4375 N Vantage Dr, Suite 202, Fayetteville, Arkansas or can
call to book an appointment on 870-972-8294.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.