Kifer, Wade

Kifer, Wade is an individual health care provider with primary practice located at 1845 N Green Acres Rd , Fayetteville AR 72703-2615. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kifer, Wade can be contacted via phone (479) 521-2112.

Contact Information

Primary practice address
1845 N Green Acres Rd Fayetteville AR 72703-2615
Phone: (479) 521-2112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3468 Arkansas

Profile Details

NPI number 1447309364
LBN Legal business name Kifer, Wade
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447309364 NPPES
Other 3468 DELTA INS, AND LICENSE #
Other 5 Y 371 DELTA INS, AND LICENSE #

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