| Pea Ridge Family & Cosmetic Dentistry By Wisener, Cooper, & Fergus | |
|
833 N Curtis Ave Pea Ridge AR 72751-2930 | |
| (479) 488-6288 | |
| Not Available |
| Full Name | Pea Ridge Family & Cosmetic Dentistry By Wisener, Cooper, & Fergus |
|---|---|
| Speciality | Dentist |
| Location | 833 N Curtis Ave, Pea Ridge, Arkansas |
| Authorized Official Name and Position | Gay Lynn Welden (OFFICE MANAGER) |
| Authorized Official Contact | 4796367100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pea Ridge Family & Cosmetic Dentistry By Wisener, Cooper, & Fergus 833 N Curtis Ave Pea Ridge AR 72751-2930 Ph: (479) 488-6288 | Pea Ridge Family & Cosmetic Dentistry By Wisener, Cooper, & Fergus 833 N Curtis Ave Pea Ridge AR 72751-2930 Ph: (479) 488-6288 |
| NPI Number | 1043671332 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043671332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3270 (Arkansas) | Primary |
Nicholas Edward Baioni, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 N Curtis Ave, Pea Ridge, AR 72751 Phone: 479-488-6288 | |
Pea Ridge Dental Combs And White Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Slack St, Pea Ridge, AR 72751 Phone: 479-488-6131 Fax: 479-488-6215 |