Richard L. Wiedower, D.D.S., P.A. in Conway - General Practice

Richard L. Wiedower, D.D.S., P.A. - NPI 1134385479

Richard L. Wiedower, D.D.S., P.A. is a General Practice in Conway, Arkansas. Richard L. Wiedower, D.D.S., P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard L. Wiedower, D.D.S., P.A. is 1134385479. The last update date is 2008-08-06.

Richard L. Wiedower, D.D.S., P.A.'s current location address is 810 Salem Rd, Conway, Arkansas. You can contact this provider via phone number 5013279988 and fax number 5013279991. The mailing address for Richard L. Wiedower, D.D.S., P.A. is 810 Salem Rd, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Richard L. Wiedower, D.D.S., P.A.
Address 810 Salem Rd, Conway, Arkansas
Phone Number 5013279988
Fax Number 5013279991
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Sanders A. Patricia
Telephone Number 5013279988

NPI Number Detail

NPI Number 1134385479
Provider Enumeration Date 2008-08-06
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 810 Salem Rd
City Conway
State Arkansas (AR)
Post Code 720344800
Phone Number 5013279988
Fax Number 5013279991

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2704
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
150619608 AR --
59167 AR BCBS
849711 AR UCCI

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FAQs about Richard L. Wiedower, D.D.S., P.A.

What is the Richard L. Wiedower, D.D.S., P.A.'s 1134385479?

The Richard L. Wiedower, D.D.S., P.A.'s NPI (National Provider Identifier) Number is 1134385479. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Richard L. Wiedower, D.D.S., P.A. is physically located?

The Richard L. Wiedower, D.D.S., P.A. is physically situated at the following address: 810 Salem Rd, Conway, AR, 720344800.

What is Richard L. Wiedower, D.D.S., P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard L. Wiedower, D.D.S., P.A. is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did Richard L. Wiedower, D.D.S., P.A. receive its 1134385479 assignment?

The Richard L. Wiedower, D.D.S., P.A. was assigned its 1134385479 on 2008-08-06, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Richard L. Wiedower, D.D.S., P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard L. Wiedower, D.D.S., P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-06.

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