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NPI Code Detail

MEDICARE: DR. MARSHALL STRONG MEGGERS D.D.S.

MEDICARE: DR. MARSHALL STRONG MEGGERS D.D.S.
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
1122300000XDentist3671AR

General Provider Information

NPI Number : 1457517062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHALL STRONG MEGGERS D.D.S.
Provider Business Mailing Address
First Line : 4720 CAMP ROBINSON RD STE B
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72118-3617
Country : US
Telephone Number : 501-753-5564
Fax Number : 501-753-8650
Provider Business Practice Location Address
First Line : 4720 CAMP ROBINSON RD STE B
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72118-3617
Country : US
Telephone Number : 501-753-5564
Fax Number : 501-753-8650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2008
Last Update Date : 03/25/2020

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