Individual provider · Type 1 NPI
Ryan Wiesemann, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · White House, TN
Practice location
323 West Dr
White House, TN 37188-9294
Mailing address
894 Fred Lively Rd
Bowling Green, KY 42104-7424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 8503 (TN) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8125 (KY) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in White House
About NPI 1235286105
Ryan Wiesemann, DMD, MS's National Provider Identifier is 1235286105, issued on Jan 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in White House, TN. The record was last updated on May 31, 2011.