Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS WIESE, D.D.S.
ActiveDR. NICHOLAS WIESE, D.D.S. is a Dentist healthcare provider located in FARIBAULT, Minnesota. NPI 1104814029 is currently active in the NPPES registry. Verify at CMS.
Dentist · FARIBAULT, MN
Registration Details
- NPI Number
- 1104814029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.808835686639 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D11401 (MN)
Practice Information
- Address
-
417 LINCOLN AVE NWFARIBAULT, MN, 550214952Browse MN providers · Browse ZIP 55021
- Phone
- 5073327608
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FARIBAULT, MN
| Name | Credential | NPI |
|---|---|---|
| THOMAS JASON NOMELAND | D.D.S. | 1174628622 |
| DR. KATHLEEN BAKER GERBER | DDS | 1962840520 |
| DR. KATIE MARIE RIVAS | DDS | 1740694520 |
| KATHERINE ROSE VAUGHAN | DDS | 1619350006 |
| ABIGAIL MALMANGER | DMD | 1336753227 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.