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MR. JASON ANTHONY HERRING DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1720182884

Individual Registrant:
MR. JASON ANTHONY HERRING DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
909 A UNITY ROAD  CROSSETT, AR 71635 US
Tel: 870-364-3313  Fax: 870-364-9433

Contact information for business:
PO BOX 617  CROSSETT, AR 71635 US
Tel: 870-364-3313  Fax: 870-364-9433

Registration Information:
NPI: 1720182884
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AR3522

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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