Male or Other

Dr. Rickey B. Douglas DDS

Dentist in Van Buren, AR(View on Map)

Full Name

Dr. Rickey Brent Douglas DDS

NPI Number

1134174428

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/24/2006

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

2272

Contact
Information

Purpose

Mailing
Location

Address

1607 MAIN ST
1607 MAIN ST

City

Van Buren
Van Buren

State

AR
AR

Postal Code

72956-4735
72956-4735

Country

US
US

Telephone Number

(479) 474-7076
(479) 474-7076

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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