Provider Demographics
NPI:1730255183
Name:MITCHELL, BRUCE F (DDS)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:F
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 SOUTH UNIVERSITY
Mailing Address - Street 2:SUITE 511
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5307
Mailing Address - Country:US
Mailing Address - Phone:501-661-9006
Mailing Address - Fax:501-661-9007
Practice Address - Street 1:500 S UNIVERSITY AVE
Practice Address - Street 2:SUITE 511
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5302
Practice Address - Country:US
Practice Address - Phone:501-661-9006
Practice Address - Fax:501-661-9007
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR23011223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics