Richard W. Wiedeman, Dds, Pa in Black Mountain - General Practice

Richard W. Wiedeman, Dds, Pa - NPI 1124290218

Richard W. Wiedeman, Dds, Pa is a General Practice in Black Mountain, North Carolina. Richard W. Wiedeman, Dds, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard W. Wiedeman, Dds, Pa is 1124290218. The last update date is 2013-07-29.

Richard W. Wiedeman, Dds, Pa's current location address is 15 Jane Jacobs Rd, Black Mountain, North Carolina. You can contact this provider via phone number 8282107051 and fax number 8282107052. The mailing address for Richard W. Wiedeman, Dds, Pa is 15 Jane Jacobs Rd, Black Mountain, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Richard W. Wiedeman, Dds, Pa
Address 15 Jane Jacobs Rd, Black Mountain, North Carolina
Phone Number 8282107051
Fax Number 8282107052
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wiedeman William Richard
Credentials D.D.S.
Telephone Number 8282107051

NPI Number Detail

NPI Number 1124290218
Provider Enumeration Date 2008-03-28
Last Updated Date 2013-07-29

Provider Mailing Address Detail

Address 15 Jane Jacobs Rd
City Black Mountain
State North Carolina (NC)
Post Code 287116306
Phone Number 8282107051
Fax Number 8282107052

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No NC7085
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
89012MJ NC --

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FAQs about Richard W. Wiedeman, Dds, Pa

What is the unique 10-digit identification code assigned to Richard W. Wiedeman, Dds, Pa by the Centers for Medicare & Medicaid Services?

The Richard W. Wiedeman, Dds, Pa has been issued the NPI (National Provider Identifier) 1124290218, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Richard W. Wiedeman, Dds, Pa's facilities are geographically located?

The facilities of Richard W. Wiedeman, Dds, Pa are physically situated at the following location: 15 Jane Jacobs Rd, Black Mountain, NC, 287116306.

What is Richard W. Wiedeman, Dds, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Richard W. Wiedeman, Dds, Pa is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date was the 1124290218 assigned to Richard W. Wiedeman, Dds, Pa?

The Richard W. Wiedeman, Dds, Pa was issued its 1124290218 on 2008-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Richard W. Wiedeman, Dds, Pa most recently updated or revised?

The information pertaining to Richard W. Wiedeman, Dds, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-29.

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