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NPI Code Detail

MEDICARE: RALPH A TEED DDS,PA

MEDICARE: RALPH A TEED DDS,PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2453AR

General Provider Information

NPI Number : 1083733554
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALPH A TEED DDS,PA
Provider Business Mailing Address
First Line : 1200 MCLAIN ST
Second Line : SUITE 8
City : NEWPORT
State : AR
Zip : 72112-3534
Country : US
Telephone Number : 870-523-6555
Fax Number :
Provider Business Practice Location Address
First Line : 1200 MCLAIN ST
Second Line : SUITE 8
City : NEWPORT
State : AR
Zip : 72112-3534
Country : US
Telephone Number : 870-523-6555
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RALPH A TEED
Credential : DDS,PA
Telephone Number : 870-523-6555
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “RALPH A TEED DDS,PA ” Practice Location

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