location
search-icon
person
Dr. Kenneth Ray Wiedenfeld, DDS
Pediatric Dentist in Victoria, Texas
NPI 1568473189

Kenneth Ray Wiedenfeld is a Pediatric Dentist based in Victoria, TX and is specialized in Pediatric Dentistry. Kenneth Ray Wiedenfeld practices in Victoria, TX and has the professional credentials of DDS. The NPI Number for Kenneth Ray Wiedenfeld is 1568473189 and holds a License No. 14144 (Texas).

The current practice location address for Kenneth Ray Wiedenfeld is 101 Professional Park Dr, Victoria, TX and can be reached out via phone at 361-578-8800 and via fax at 361-575-6986.

Location: 101 Professional Park Dr, Victoria, TX, 77904-2351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568473189
Provider Name
Kenneth Ray Wiedenfeld
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
101 Professional Park Dr, Victoria, TX, 77904-2351
Phone Number
361-578-8800
Fax Number
361-575-6986
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Professional Park Dr
City
Victoria
State
Texas
Zip
77904-2351
Phone Number
361-578-8800
Fax Number
361-575-6986
person
Provider Business Mailing Address Details
Address
101 Professional Park Dr
City
Victoria
State
Texas
Zip
77904-2351
Phone Number
361-578-8800
Fax Number
361-575-6986
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
14144 (Texas)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.