Harris, Robert Charles

Harris, Robert Charles is an individual health care provider with primary practice located at 2386 N Green Acres Rd , Fayetteville AR 72703. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Harris, Robert Charles can be contacted via phone (479) 442-8500.

Contact Information

Primary practice address
2386 N Green Acres Rd Fayetteville AR 72703
Fax: (479) 442-2933
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3195 Arkansas

Profile Details

NPI number 1497851240
LBN Legal business name Harris, Robert Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497851240 NPPES
Arkansas Other 525012 UNITED CONCORDIA
Arkansas Other 5B210 UNITED CONCORDIA
Arkansas Other 59086 UNITED CONCORDIA

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