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General NPI Number Information
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NPI Number | 1669890349
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Entity Type | Organization
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Legal Business Name | AARON K. FORRESTER DDS, PLLC
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 01/02/2015
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Provider Practice Location Address
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Address Line | 2425 DAVE WARD DR STE 502
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City | CONWAY
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State | AR
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Zip | 72034-8686
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Country | US
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Telephone | 479-831-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 DAVE WARD DR STE 502
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City | CONWAY
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State | AR
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Zip | 72034-8686
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Country | US
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Telephone | 501-764-3883
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON K FORRESTER
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Credential | D.D.S.
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Telephone | 479-831-3071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 3704
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License Number State | AR
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