| Dr Wilmer Hechanova, DDS | |
|
501 N Indian Rd, Smith River, CA 95567-9509 | |
| (707) 825-4042 | |
| (707) 825-5045 |
| Full Name | Dr Wilmer Hechanova |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 501 N Indian Rd, Smith River, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518944578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29695 (California) | Primary |
| Entity Name | United Indian Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497751572 PECOS PAC ID: 9830085075 Enrollment ID: O20040225000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wilmer Hechanova, DDS Po Box 188, Smith River, CA 95567-0188 Ph: (707) 218-7282 | Dr Wilmer Hechanova, DDS 501 N Indian Rd, Smith River, CA 95567-9509 Ph: (707) 825-4042 |
Vincent Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 N Indian Rd, Smith River, CA 95567 Phone: 707-825-4042 Fax: 707-825-5045 | |
Dr. Kirk John Petersen, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 501 N Indian Rd, Smith River, CA 95567 Phone: 707-487-0215 | |
Dr. John D. Wassenmiller, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 N Indian Rd, Smith River, CA 95567 Phone: 707-487-0215 | |
Michael Arnold Moss, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17295 Hiway 101 N, Smith River, CA 95567 Phone: 707-487-8700 Fax: 707-487-3700 |