DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN P WIEDERHOLT, DMD

Active

MR. JOHN P WIEDERHOLT, DMD is a Dentist healthcare provider located in MADISON, Wisconsin. NPI 1336369073 is currently active in the NPPES registry. Verify at CMS.

Dentist · MADISON, WI

Registration Details

NPI Number
1336369073
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2007 (19.276340732882 yrs)
Last Updated
Oct 4, 2011
Licenses
21644 (MA)
6263-015 (WI)
6263-15 (WI)

Practice Information

Address
3434 E. WASHINGTON AVE
MADISON, WI, 537044155
Browse WI providers · Browse ZIP 53704
Phone
6084435550
Fax
6084435554
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Providers in MADISON, WI

Name Credential NPI
DR. AMY LYNN SERGEANT DDS 1427057355
DR. EDWIN T BATCHELOR DDS 1881694396
MR. LOUIS STANLEY BRYSH DMD 1730151838
DR. JOANNE M RUMMELHART DDS 1427003383
DONALD KRAUT DDS 1306923305
DR. LISA ANNE YOUNG DDS 1467525576
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.