Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHAD RYAN WIERSEMA, DDS
ActiveMR. CHAD RYAN WIERSEMA, DDS is a Endodontics healthcare provider located in HOMEWOOD, Illinois. NPI 1427114115 is currently active in the NPPES registry. Verify at CMS.
Endodontics · HOMEWOOD, IL
Registration Details
- NPI Number
- 1427114115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.591667647152 yrs)
- Last Updated
- Mar 1, 2012
- Licenses
-
019026244 (IL)12010886A (IN)021002195 (IL)
Practice Information
- Address
-
18130 HALSTED STHOMEWOOD, IL, 604302507Browse IL providers · Browse ZIP 60430
- Phone
- 7087992550
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Dentist
- Additional Specialty
- Endodontics
Other Endodontics Providers in HOMEWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| DASHA ELLEZIAN BARSS | D.D.S.,M.M.SC. | 1922295559 |
| MICHAEL S. GIDEON | D.D.S.,M.S.D. | 1851588412 |
| ALEX HARALAMPOPOULOS | D.M.D. | 1346438967 |
| LEE DOUGLAS FILLAK | D.M.D.,M.S. | 1427246057 |
| DR. ANTHONY L. GRIGLIONE | D.M.D. | 1508177239 |
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.