Individual provider · Type 1 NPI

Carol Wiese, DDS

Pediatric Dentistry · Rapid City, SD

NPI number 1215374335 Active

Practice location

700 Sheridan Lake Rd.
Rapid City, SD 57702

Call (605) 721-6634 Map

Fax (605) 341-5757

Mailing address

700 Sheridan Lake Rd
Rapid City, SD 57702-2407

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X2901020964 (MI)
Pediatric Dentistry Primary 1223P0221XD1361 (SD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1215374335

Carol Wiese, DDS's National Provider Identifier is 1215374335, issued on May 30, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rapid City, SD. The record was last updated on Sep 21, 2022.