Organization · Type 2 NPI
Wiesemann Orthodontics Inc. PC
Orthodontics and Dentofacial Orthopedics Dentistry · Bowling Green, KY
Practice location
894 Fred Lively Rd
Bowling Green, KY 42104-7424
Mailing address
323 West Dr
White House, TN 37188-9294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 8503 (TN) |
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 1740574458
Wiesemann Orthodontics Inc. PC's National Provider Identifier is 1740574458, issued on May 31, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bowling Green, KY. The record was last updated on May 31, 2011.