Scott C Wietecha in Columbia - Oral And Maxillofacial Surgery

Scott C Wietecha - NPI 1114092707

Scott C Wietecha is a Oral And Maxillofacial Surgery in Columbia, South Carolina. Scott C Wietecha practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Scott C Wietecha is 1114092707. The last update date is 2007-07-08.

Scott C Wietecha's current location address is 7033 Saint Andrews Rd, Columbia, South Carolina. You can contact this provider via phone number 8037813321 and fax number 8037814406. The mailing address for Scott C Wietecha is 7033 Saint Andrews Rd, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott C Wietecha
Address 7033 Saint Andrews Rd, Columbia, South Carolina
Phone Number 8037813321
Fax Number 8037814406
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1114092707
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7033 Saint Andrews Rd
City Columbia
State South Carolina (SC)
Post Code 292121179
Phone Number 8037813321
Fax Number 8037814406

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 2148
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2148 SC DENTAL LICENSE
ZZ2148 SC --

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FAQs about Scott C Wietecha

What is the Scott C Wietecha's 1114092707?

The Scott C Wietecha's NPI (National Provider Identifier) Number is 1114092707. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Scott C Wietecha's facilities are situated?

The facilities of Scott C Wietecha are physically located at the following address: 7033 Saint Andrews Rd, Columbia, SC, 292121179.

What is the Scott C Wietecha's specialty and taxonomy code?

The Scott C Wietecha's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

When did the Scott C Wietecha receive its 1114092707?

The Scott C Wietecha was issued its 1114092707 on 2006-11-21, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Scott C Wietecha last refreshed?

The information related to the Scott C Wietecha, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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