Bale, Forrest Garnett

Bale, Forrest Garnett is an sole proprietor health care provider with primary practice located at 319 S Glenwood Ave , Russellville AR 72801-5906. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bale, Forrest Garnett can be contacted via phone (479) 968-1334.

Contact Information

Primary practice address
319 S Glenwood Ave Russellville AR 72801-5906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE00010370 Washington
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3799 Arkansas

Profile Details

NPI number 1376635375
LBN Legal business name Bale, Forrest Garnett
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Oct 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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