Individual provider · Type 1 NPI

Scott C. Wietecha, DMD

Oral and Maxillofacial Surgery (Dentist) · Columbia, SC

NPI number 1114092707 Active

Practice location

7033 Saint Andrews Rd, Suite 102
Columbia, SC 29212-1179

Call (803) 781-3321 Map

Fax (803) 781-4406

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2148 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1114092707

Scott C. Wietecha, DMD's National Provider Identifier is 1114092707, issued on Nov 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia, SC. The record was last updated on Jul 8, 2007.