person
Joseph Hall Wenner, DDS
Pediatric Dentist in St Cloud, Minnesota
NPI 1720028624

Joseph Hall Wenner is a Pediatric Dentist based in St Cloud, MN and is specialized in Pediatric Dentistry. Joseph Hall Wenner practices in St Cloud, MN and has the professional credentials of DDS. The NPI Number for Joseph Hall Wenner is 1720028624 and holds a License No. 7765 (Minnesota).

The current practice location address for Joseph Hall Wenner is 1900 Centracare Circle, St Cloud, MN and can be reached out via phone at 320-253-0272 and via fax at 320-251-2661.

Location: 1900 Centracare Circle, St Cloud, MN, 56303-5000
person
Provider Profile Details
NPI Number
1720028624
Provider Name
Joseph Hall Wenner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1900 Centracare Circle, St Cloud, MN, 56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HP18378 01 MN HEALTH PARTNERS
3B445WE 01 MN BLUE CROSS BLUE SHIELD
941218200 05 MN
institution
Provider Business Practice Location Address Details
Address
1900 Centracare Circle
City
State
Zip
56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
person
Provider Business Mailing Address Details
Address
1900 Centracare Circle
City
State
Zip
56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
7765 (Minnesota)
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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