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General NPI Number Information
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NPI Number | 1215736525
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Entity Type | Organization
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Legal Business Name | ASHABRANNER ORAL AND FACIAL SURGERY PLLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 620 SOUTHWEST DR
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City | JONESBORO
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State | AR
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Zip | 72401-5859
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Country | US
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Telephone | 479-871-2051
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 WOOD ST
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City | JONESBORO
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State | AR
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Zip | 72401-5748
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORAL MAXILLOFACIAL SURGEON/OWNER
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Name | DR. SLOAN ASHABRANNER
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Credential | DDS
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Telephone | 479-871-2051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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