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Dr. Thomas R Wiedemann, DDS
General Practice Dentistry in Saint Louis, Missouri
NPI 1790782399

Thomas R Wiedemann is a General Practice Dentistry based in Saint Louis, MO and is specialized in General Practice. Thomas R Wiedemann practices in Saint Louis, MO and has the professional credentials of DDS. The NPI Number for Thomas R Wiedemann is 1790782399 and holds a License No. 13165 (Missouri).

The current practice location address for Thomas R Wiedemann is 3707 Watson Rd, Saint Louis, MO and can be reached out via phone at 314-645-6400.

Location: 3707 Watson Rd, Saint Louis, MO, 63109-1236
person
Provider Profile Details
NPI Number
1790782399
Provider Name
Thomas R Wiedemann
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3707 Watson Rd, Saint Louis, MO, 63109-1236
Phone Number
314-645-6400
Fax Number
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13165 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3707 Watson Rd
City
State
Zip
63109-1236
Phone Number
314-645-6400
Fax Number
person
Provider Business Mailing Address Details
Address
3707 Watson Rd
City
State
Zip
63109-1236
Phone Number
314-645-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
13165 (Missouri)
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.
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