Provider Demographics
NPI:1760563787
Name:EGGART, WILLIAM L JR (DDS, PA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:EGGART
Suffix:JR
Gender:M
Credentials:DDS, PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9 MEDICAL SERVICES DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110
Mailing Address - Country:US
Mailing Address - Phone:501-354-8800
Mailing Address - Fax:501-354-8801
Practice Address - Street 1:9 MEDICAL SERVICES DR
Practice Address - Street 2:SUITE A
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110
Practice Address - Country:US
Practice Address - Phone:501-354-8800
Practice Address - Fax:501-354-8801
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR33941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X712OtherBCBS/AR
AR1579726OtherUNITED CONCORDIA