Wedington Dental, PLLC
Clinic/Center, Dental in Fayetteville, AR. Organization (NPI-2).
Details
- NPI
- 1346744232
- Entity type
- Organization (NPI-2)
- Legal business name
- Wedington Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 23, 2018
- Last updated
- Jun 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- River Dental Fayetteville (Doing Business As)
Practice location
3500 Black Forest DrvieSte 1
Fayetteville, AR 72704
Phone 918-998-0996 · Fax 918-235-9079
Mailing address
400 Riverwalk Ter Ste 250Jenks, OK 74037-5619
Phone 918-998-0996 · Fax 918-235-9079
Authorized official
Renee McBay
Credentialing Specialist
9189980996
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Dental Clinic/Center providers in Fayetteville · All 4,767 providers in Fayetteville
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