| NPI | 1649679051 |
|---|---|
| Doing Business As | STAR CITY COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARY ALLAN NICHOLS CEO 870-942-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2025-05-15 |