Russellville Family Dentistry Pa is a Dental Clinic in Russellville, Arkansas. It is located at 104 N Utah Ave, Russellville, AR and its contact number is 479-968-1706. The authorized person for Russellville Family Dentistry Pa is Dr. Michael Gregory Kitchens
who is President of the clinic and their contact number is 479-968-1706. The primary license number for Russellville Family Dentistry Pa is 3895 (General Practice) in Arkansas.
Russellville Family Dentistry Pa 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:
Russellville Family Dentistry Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Russellville Family Dentistry Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 104 N Utah Ave, Russellville,
Arkansas, 72801-2740 |
| Phone: | 479-968-1706 |
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 Gregory Kitchens |
| Position: | President |
| Contact Number: | 479-968-1706 |
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 Russellville Family Dentistry Pa clinic are as mentioned below.
| NPI Number: | 1508287251 |
| NPI Enumeration Date: | 25 Dec, 2013 |
| NPI Last Update On: | 25 Dec, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russellville Family Dentistry Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 3895 | Arkansas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Russellville Family Dentistry Pa
104 N Utah Ave,
Russellville, Arkansas |
| Zip: | 72801-2740 |
| Phone Number: | 479-968-1706 |
Patients can reach Russellville Family Dentistry Pa at
104 N Utah Ave, Russellville, Arkansas or can
call to book an appointment on 479-968-1706.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.