Mammoth Spring Dental Clinic, Llc is a Dental Clinic in Mammoth Spring, Arkansas. It is located at 180 Main Street, Mammoth Spring, AR and its contact number is 870-625-3262. The authorized person for Mammoth Spring Dental Clinic, Llc is Dr. Michael D. Kersey
who is Member of the clinic and their contact number is 870-625-3262. The primary license number for Mammoth Spring Dental Clinic, Llc is 2661 (Dentist) in Arkansas.
Mammoth Spring Dental Clinic, Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mammoth Spring Dental Clinic, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mammoth Spring Dental Clinic, Llc |
| Specialization: | Dentistry |
| Clinic Address: | 180 Main Street, Mammoth Spring,
Arkansas, 72554 |
| Phone: | 870-625-3262 |
| Fax: | 870-625-3673 |
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. Michael D. Kersey |
| Position: | Member |
| Contact Number: | 870-625-3262 |
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 Mammoth Spring Dental Clinic, Llc clinic are as mentioned below.
| NPI Number: | 1023349651 |
| NPI Enumeration Date: | 21 Jan, 2010 |
| NPI Last Update On: | 21 Jan, 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 Mammoth Spring Dental Clinic, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 2661 | 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 |
| 402069306 | Medicaid | Missouri | |
| 889-284 | Other | Arkansas | United Concordia |
| 56593 | Other | Arkansas | Blue Cross Blue Shield |
| 102276608 | 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: | Mammoth Spring Dental Clinic, Llc
P.o. Box 128,
Mammoth Spring, Arkansas |
| Zip: | 72554 |
| Phone Number: | 870-625-3262 |
| Fax Number: | 870-625-3673 |
Patients can reach Mammoth Spring Dental Clinic, Llc at
180 Main Street, Mammoth Spring, Arkansas or can
call to book an appointment on 870-625-3262.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.