Bethel Burris Oliver Pllc
May also be knows as Arkansas Dentistry And Braces
Orthodontics and Dentofacial Orthopedic Dentist in Blytheville, AR(View on Map)
Legal Business Name
Bethel Burris Oliver Pllc
Also Known As
Arkansas Dentistry And Braces
NPI Number
1366883886
NPI Type
Organization
Enumeration Date
07/12/2013
Specialties
(Taxonomies)Name
Code
1223X0400X
1223G0001X
1223S0112X
1223P0221X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
3782 N FRONT ST STE 1
3710 E MAIN ST STE J
City
Fayetteville
Blytheville
State
AR
AR
Postal Code
72703-5906
72315-6882
Country
US
US
Telephone Number
(479) 445-6335
(870) 972-8294
Authorized Official
Name
Dr. Benjamin Burris
Title or Position
OWNER
Telephone Number
(870) 972-8294
Identifiers
Identifier
190787631
Identifier State
AR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/04/2015