Richard L. Wiedower, D.d.s., P.a. | |
810 Salem Rd Conway AR 72034-4800 | |
(501) 327-9988 | |
(501) 327-9991 |
Full Name | Richard L. Wiedower, D.d.s., P.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 810 Salem Rd, Conway, Arkansas |
Authorized Official Name and Position | Patricia A. Sanders (OFFICE MANAGER) |
Authorized Official Contact | 5013279988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard L. Wiedower, D.d.s., P.a. 810 Salem Rd Conway AR 72034-4800 Ph: (501) 327-9988 | Richard L. Wiedower, D.d.s., P.a. 810 Salem Rd Conway AR 72034-4800 Ph: (501) 327-9988 |
NPI Number | 1134385479 |
---|---|
Provider Enumeration Date | 08/06/2008 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134385479 | NPI | - | NPPES |
150619608 | Medicaid | AR | |
59167 | Other | AR | BCBS |
849711 | Other | AR | UCCI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2704 (Arkansas) | Primary |
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