Richard W. Wiedeman, Dds, Pa

LBN: Richard W. Wiedeman, Dds, Pa
Richard W. Wiedeman, Dds, Pa is an health care organization with primary practice located at 15 Jane Jacobs Rd Suite 201, Black Mountain NC 28711-6306. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Richard W. Wiedeman, Dds, Pa can be contacted via phone (828) 210-7051, or through Wiedeman, Richard William via phone (828) 210-7051.

Contact Information

Primary practice address
15 Jane Jacobs Rd Suite 201 Black Mountain NC 28711-6306
Phone: (828) 210-7051
Fax: (828) 210-7052
Website:
Map and Directions
Authorized official contact:
Name: Wiedeman, Richard William Doctor of Dental Surgery (DDS)
Phone: (828) 210-7051

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X NC7085 North Carolina

Profile Details

NPI number 1124290218
LBN Legal business name Richard W. Wiedeman, Dds, Pa
DBA Doing business as
Authorized official Wiedeman, Richard William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2008
Last updated Jul 29th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124290218 NPPES
North Carolina MEDICAID 89012MJ

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