Wedington Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEDINGTON DENTAL, PLLC

Practice address

3500 Black Forest Drvie
Ste 1
Fayetteville, AR 72704

Phone

(918) 998-0996

Fax

(918) 235-9079

NPI assigned

Mar 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renee McBay

Title

Credentialing Specialist

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Other names 1

• River Dental Fayetteville Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346744232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BLACK FOREST DRVIE",
            "address_2": "STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72704",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDINGTON DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCBAY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Dental Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Weber, LCSW
• Al Elliot Webster
• Carlie Webster
• Roma Gail Webster, APRN
• Wedington Court Dental Associates
• Wendell Weller Weed, MD
• Larry C. Weeks, D.C.
• Brent R Weilert, MD
• Karen Weimer, MS, LAC
• Shane Jeffrey Weindel, M.D.

• Dental Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.