Organization
PEA RIDGE FAMILY & COSMETIC DENTISTRY BY WISENER, COOPER, & FERGUS
Active
Parent organization
WISENER, COOPER, & FERGUS, DDS,PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISENER, COOPER, & FERGUS, DDS,PLLC
Authorized official
MRS. GAY LYNN WELDEN (OFFICE MANAGER)
(479) 636-7100
Entity
Organization
Contact information
Practice address
833 N CURTIS AVE, PEA RIDGE, AR 72751-2930
(479) 488-6288
Mailing address
833 N CURTIS AVE, PEA RIDGE, AR 72751-2930
(479) 488-6288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3270
AR
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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