Thomas R Wiedemann in Saint Louis - General Practice
Thomas R Wiedemann - NPI 1790782399
Thomas R Wiedemann is a General Practice in Saint Louis, Missouri. Thomas R Wiedemann practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas R Wiedemann is 1790782399. The last update date is 2007-07-08.
Thomas R Wiedemann's current location address is 3707 Watson Rd, Saint Louis, Missouri. You can contact this provider via phone number 3146456400. The mailing address for Thomas R Wiedemann is 3707 Watson Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R Wiedemann |
|---|---|
| Address | 3707 Watson Rd, Saint Louis, Missouri |
| Phone Number | 3146456400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790782399 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3707 Watson Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631091236 |
| Phone Number | 3146456400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13165 |
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Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13165 | MO | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas R Wiedemann?
The Thomas R Wiedemann has been issued the NPI (National Provider Identifier) 1790782399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Thomas R Wiedemann?
The Thomas R Wiedemann is physically situated at 3707 Watson Rd, in the city of Saint Louis, state of MO, with the postal code 631091236.
What is the area of specialization for Thomas R Wiedemann, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas R Wiedemann is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Thomas R Wiedemann receive the assignment of its 1790782399 from the Centers for Medicare & Medicaid Services?
The Thomas R Wiedemann was issued its 1790782399 by the Centers for Medicare & Medicaid Services on 2005-06-28.
As of what date was the information regarding Thomas R Wiedemann, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas R Wiedemann, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.