| Richard W. Wiedeman, Dds, Pa | |
|
15 Jane Jacobs Rd Suite 201 Black Mountain NC 28711-6306 | |
| (828) 210-7051 | |
| (828) 210-7052 |
| Full Name | Richard W. Wiedeman, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Jane Jacobs Rd, Black Mountain, North Carolina |
| Authorized Official Name and Position | Richard William Wiedeman (PRESIDENT) |
| Authorized Official Contact | 8282107051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W. Wiedeman, Dds, Pa 15 Jane Jacobs Rd Suite 201 Black Mountain NC 28711-6306 Ph: (828) 210-7051 | Richard W. Wiedeman, Dds, Pa 15 Jane Jacobs Rd Suite 201 Black Mountain NC 28711-6306 Ph: (828) 210-7051 |
| NPI Number | 1124290218 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124290218 | NPI | - | NPPES |
| 89012MJ | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NC7085 (North Carolina) | Primary |
John L Hillsman Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Old Us 70, Suite C, Black Mountain, NC 28711 Phone: 828-669-7205 Fax: 828-669-1804 | |
Deborah G. Anders, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3094 Us Highway 70, Black Mountain, NC 28711 Phone: 828-669-8781 Fax: 828-669-4763 | |
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