| Terry L. Fiddler, D.d.s., P.a. | |
|
562 Locust Street Conway AR 72034 | |
| (501) 327-7778 | |
| Not Available |
| Full Name | Terry L. Fiddler, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 562 Locust Street, Conway, Arkansas |
| Authorized Official Name and Position | Sissy Moore (OFFICE MANAGER) |
| Authorized Official Contact | 5013277778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry L. Fiddler, D.d.s., P.a. 562 Locust Street Conway AR 72034 Ph: (501) 327-7778 | Terry L. Fiddler, D.d.s., P.a. 562 Locust Street Conway AR 72034 Ph: (501) 327-7778 |
| NPI Number | 1881789865 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881789865 | NPI | - | NPPES |
| 858661 | Other | AR | UNITED CONCORDIA |
| 58493 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2115 (Arkansas) | Primary |
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