Provider Demographics
NPI:1679600035
Name:FRISBY, WILLIAM LARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LARRY
Last Name:FRISBY
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 1:303 W HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:AR
Mailing Address - Zip Code:72150-2427
Mailing Address - Country:US
Mailing Address - Phone:870-942-4941
Mailing Address - Fax:870-942-4575
Practice Address - Street 1:303 W HOLLY ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150-2427
Practice Address - Country:US
Practice Address - Phone:870-942-4941
Practice Address - Fax:870-942-4575
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist