Wade Kifer D.D.S., P.A.
Dentist, General Practice in Fayetteville, AR. Organization (NPI-2).
NPI number1982806501
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1982806501
- Entity type
- Organization (NPI-2)
- Legal business name
- Wade Kifer D.D.S., P.A.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3468 | AR | Yes |
Practice location
1845 N Green Acres RdFayetteville, AR 72703-2615
Phone 479-521-2002 · Fax 479-444-7202
Mailing address
1845 N Green Acres RdFayetteville, AR 72703-2615
Phone 479-521-2002 · Fax 479-444-7202
Authorized official
Wade Kifer
President
4795212002
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