Provider Demographics
NPI:1285318964
Name:SAULSBERRY, CYNTHIA CAROL (RDH)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CAROL
Last Name:SAULSBERRY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 RILEY PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-6104
Mailing Address - Country:US
Mailing Address - Phone:479-226-3500
Mailing Address - Fax:
Practice Address - Street 1:5901 RILEY PARK DR STE A
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-6104
Practice Address - Country:US
Practice Address - Phone:479-226-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2253124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist