| Wade Kifer D.d.s., P.a. | |
|
1845 N Green Acres Rd Fayetteville AR 72703-2615 | |
| (479) 521-2002 | |
| (479) 444-7202 |
| Full Name | Wade Kifer D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1845 N Green Acres Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Wade Kifer (PRESIDENT) |
| Authorized Official Contact | 4795212002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Kifer D.d.s., P.a. 1845 N Green Acres Rd Fayetteville AR 72703-2615 Ph: (479) 521-2002 | Wade Kifer D.d.s., P.a. 1845 N Green Acres Rd Fayetteville AR 72703-2615 Ph: (479) 521-2002 |
| NPI Number | 1982806501 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982806501 | NPI | - | NPPES |
| 3468 | Other | AR | STATE LICENSE NUMBER |
| 5 Y 371 | Other | AR | BLUE CROSS BLUE SHIELDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3468 (Arkansas) | Primary |
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