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Carol Wiese, DDS
Pediatric Dentist in Rapid City, South Dakota
NPI 1215374335

Carol Wiese is a Pediatric Dentist based in Rapid City, SD and is specialized in Pediatric Dentistry. Carol Wiese practices in Rapid City, SD and has the professional credentials of DDS. The NPI Number for Carol Wiese is 1215374335 and holds a License No. 2901020964 (South Dakota).

The current practice location address for Carol Wiese is 700 Sheridan Lake Rd., Rapid City, SD and can be reached out via phone at 605-721-6634 and via fax at 605-341-5757.

Location: 700 Sheridan Lake Rd., Rapid City, SD, 57702-2407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215374335
Provider Name
Carol Wiese
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
700 Sheridan Lake Rd., Rapid City, SD, 57702-2407
Phone Number
605-721-6634
Fax Number
605-341-5757
Provider Enumeration Date
05/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Sheridan Lake Rd.
City
Rapid City
State
South Dakota
Zip
57702
Phone Number
605-721-6634
Fax Number
605-341-5757
person
Provider Business Mailing Address Details
Address
700 Sheridan Lake Rd.
City
Rapid City
State
South Dakota
Zip
57702
Phone Number
605-721-6634
Fax Number
605-341-5757
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1361 (South Dakota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901020964 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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