Dr. Jeffery Scott Wisener, D.D.S.
Dentist, General Practice in Rogers, AR. Individual provider (NPI-1).
NPI number1285642819
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285642819
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffery Scott Wisener
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3226 | AR | Yes |
Practice location
620 N 13th StRogers, AR 72756-3434
Phone 479-636-7100 · Fax 479-621-6766
Mailing address
620 N 13th StRogers, AR 72756-3434
Phone 479-636-7100 · Fax 479-621-6766
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