Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH RAY WIEDENFELD, D.D.S.
Active Sole ProprietorDR. KENNETH RAY WIEDENFELD, D.D.S. is a Pediatric Dentistry healthcare provider located in VICTORIA, Texas. NPI 1568473189 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · VICTORIA, TX
Registration Details
- NPI Number
- 1568473189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (19.829471215147 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14144 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 PROFESSIONAL PARK DRVICTORIA, TX, 779042351Browse TX providers · Browse ZIP 77904
- Phone
- 3615788800
- Fax
- 3615756986
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in VICTORIA, TX
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM HUGH SHUTTLESWORTH | DDS | 1487715462 |
| DR. SHIPRA SHARMA | — | 1275024838 |
| JUAN CARLOS LLARENA | DDS | 1891439584 |
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.