Individual provider · Type 1 NPI

Jonathan Wiser

Dentist · Lebanon, MO

NPI number 1063300358 Active

Practice location

860 Lynn St
Lebanon, MO 65536-3810

Mailing address

426 Cobb Dr
Lebanon, MO 65536

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2025020240 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063300358

Jonathan Wiser's National Provider Identifier is 1063300358, issued on Jun 25, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lebanon, MO. The record was last updated on Jun 25, 2025.