Provider Demographics
NPI:1780701813
Name:R K GIRLINGHOUSE DDS PA
Entity type:Organization
Organization Name:R K GIRLINGHOUSE DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JINKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-474-7600
Mailing Address - Street 1:209 HIGHWAY 71 N
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-3204
Mailing Address - Country:US
Mailing Address - Phone:479-632-6110
Mailing Address - Fax:479-632-6109
Practice Address - Street 1:2308 FAYETTEVILLE RD STE 1600
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-6645
Practice Address - Country:US
Practice Address - Phone:479-474-7600
Practice Address - Fax:479-689-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty