Individual provider · Type 1 NPI

Jonathan P. Wiens, DDS MSD

Oral and Maxillofacial Surgery (Dentist) · West Bloomfield, MI

NPI number 1497894596 Active

Practice location

6177 Orchard Lake Road, Suite 120
West Bloomfield, MI 48322

Fax (248) 855-0803

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD10587 (MI)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X2901010587 (MI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901010587 (MI)
Prosthodontics 1223P0700X2901010587 (MI)

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 1497894596

Jonathan P. Wiens, DDS MSD's National Provider Identifier is 1497894596, issued on Feb 5, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 30, 2012.