is a Dental Clinic in Jonesboro, Arkansas. It is located at 460 Southwest Dr Ste B, Jonesboro, AR and its contact number is 870-931-1100. The authorized person for is Dr. Emily Ballard Gairhan
who is President of the clinic and their contact number is 870-931-1100. The primary license number for is 3709 (General Practice) in Arkansas. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
460 Southwest Dr Ste B, Jonesboro, Arkansas, 72401-5855
Phone:
870-931-1100
Fax:
870-931-1101
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. Emily Ballard Gairhan
Position:
President
Contact Number:
870-931-1100
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 clinic are as mentioned below.
NPI Number:
1053637637
NPI Enumeration Date:
08 Apr, 2010
NPI Last Update On:
08 Apr, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
3709
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
1841428117
Other
Type 1 Npi
179731608
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:
460 Southwest Dr Ste B, Jonesboro, Arkansas
Zip:
72401-5855
Phone Number:
870-931-1100
Fax Number:
870-931-1101
Patients can reach at 460 Southwest Dr Ste B, Jonesboro, Arkansas or can call to book an appointment on 870-931-1100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.