| 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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