Nicholas Wiese is a Dentist in Faribault, Minnesota. Nicholas Wiese practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nicholas Wiese is 1104814029. The last update date is 2007-07-08.
Nicholas Wiese's current location address is 417 Lincoln Ave Nw, Faribault, Minnesota. You can contact this provider via phone number 5073327608. The mailing address for Nicholas Wiese is 417 Lincoln Ave Nw, Faribault, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicholas Wiese |
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Address | 417 Lincoln Ave Nw, Faribault, Minnesota |
Phone Number | 5073327608 |
Fax Number | |
Sole Proprietor | X |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1104814029 |
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Provider Enumeration Date | 2005-10-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 417 Lincoln Ave Nw |
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City | Faribault |
State | Minnesota (MN) |
Post Code | 550214952 |
Phone Number | 5073327608 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | D11401 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Nicholas Wiese's unique identification number?
The Nicholas Wiese has been assigned the NPI (National Provider Identifier) Number 1104814029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Nicholas Wiese is physically located?
The Nicholas Wiese is situated at the following address: 417 Lincoln Ave Nw, Faribault, MN 550214952.
What is the Nicholas Wiese's specialty and taxonomy code?
The Nicholas Wiese's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104814029 to Nicholas Wiese?
The Centers for Medicare & Medicaid Services assigned the 1104814029 to Nicholas Wiese on 2005-10-13.
When was the information regarding Nicholas Wiese, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicholas Wiese, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.