Individual provider · Type 1 NPI
Michael Thomas Wiernicki
Orthodontics and Dentofacial Orthopedics Dentistry · Winter Haven, FL
Practice location
1074 Spring Lake Plaza
Winter Haven, FL 33881
Mailing address
5717 Trace Meadow Loop Apt 304
Riverview, FL 33578-2625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 22302 (FL) |
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…
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About NPI 1356813869
Michael Thomas Wiernicki's National Provider Identifier is 1356813869, issued on Dec 21, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Winter Haven, FL. The record was last updated on Dec 21, 2018.