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Dr. Michaela Rae Wiseman, DDS
General Practice Dentistry in Midlothian, Texas
NPI 1740856780

Michaela Rae Wiseman is a General Practice Dentistry based in Midlothian, TX and is specialized in General Practice. Michaela Rae Wiseman practices in Midlothian, TX and has the professional credentials of DDS. The NPI Number for Michaela Rae Wiseman is 1740856780 and holds a License No. TD-00-140 (Texas).

The current practice location address for Michaela Rae Wiseman is 2040 Fm 633, Midlothian, TX and can be reached out via phone at 972-528-4802.

Location: 2040 Fm 633, Midlothian, TX, 76065-6571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740856780
Provider Name
Michaela Rae Wiseman
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2040 Fm 633, Midlothian, TX, 76065-6571
Phone Number
972-528-4802
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2040 Fm 633
City
Midlothian
State
Texas
Zip
76065
Phone Number
972-528-4802
Fax Number
person
Provider Business Mailing Address Details
Address
2040 Fm 633
City
Midlothian
State
Texas
Zip
76065
Phone Number
972-528-4802
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
38329 (Texas)
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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TD-00-140 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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