Provider Demographics
NPI:1407923717
Name:PLATT, GEORGE BRIGHTSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:BRIGHTSON
Last Name:PLATT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 AUTUMN RD STE 450
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3743
Mailing Address - Country:US
Mailing Address - Phone:501-221-3400
Mailing Address - Fax:
Practice Address - Street 1:904 AUTUMN RD STE 450
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3743
Practice Address - Country:US
Practice Address - Phone:501-221-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR26441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice