Individual provider · Type 1 NPI
Thomas Wiese, DDS
General Practice Dentistry · Chicago, IL
NPI number
1114197886
Active
Practice location
10712 S Ewing Ave
Chicago, IL 60617-6626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1114197886
Thomas Wiese, DDS's National Provider Identifier is 1114197886, issued on Mar 9, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Mar 9, 2008.