Individual provider · Type 1 NPI
Michaela Rae Wiseman, DDS
General Practice Dentistry · Midlothian, TX
NPI number
1740856780
Active
Practice location
2040 FM 633, #420
Midlothian, TX 76065
Mailing address
2040 FM 663 Ste 420
Midlothian, TX 76065-6571
Other practice locations
- 1 University Of New Mexico, Albuquerque, NM 87131-4516 · (505) 720-2019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TD-00-140 (NM) |
| General Practice Dentistry Primary | 1223G0001X | 38329 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1740856780
Michaela Rae Wiseman, DDS's National Provider Identifier is 1740856780, issued on Jun 1, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Midlothian, TX. The record was last updated on Jul 22, 2022.