| Axpm- Conway Dental Pllc | |
|
8 Medical Ln Conway AR 72034-4913 | |
| (501) 327-0587 | |
| (501) 504-2389 |
| Full Name | Axpm- Conway Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8 Medical Ln, Conway, Arkansas |
| Authorized Official Name and Position | Bryan Hiller (MANAGER) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axpm- Conway Dental Pllc Po Box 3450 Little Rock AR 72203-3450 Ph: () - | Axpm- Conway Dental Pllc 8 Medical Ln Conway AR 72034-4913 Ph: (501) 327-0587 |
| NPI Number | 1427592732 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427592732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Richard L. Wiedower, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Salem Rd, Conway, AR 72034 Phone: 501-327-9988 Fax: 501-327-9991 | |
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