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Mr. Jerald D Wienke, DDS
General Practice Dentistry in Kingman, Arizona
NPI 1912010216

Jerald D Wienke is a General Practice Dentistry based in Kingman, AZ and is specialized in General Practice. Jerald D Wienke practices in Kingman, AZ and has the professional credentials of DDS. The NPI Number for Jerald D Wienke is 1912010216 and holds a License No. 1371 (Arizona).

The current practice location address for Jerald D Wienke is 411 Grandview Ave, Kingman, AZ and can be reached out via phone at 928-753-6220 and via fax at 928-753-6343.

Location: 411 Grandview Ave, Kingman, AZ, 86402-0990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912010216
Provider Name
Jerald D Wienke
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
411 Grandview Ave, Kingman, AZ, 86402-0990
Phone Number
928-753-6220
Fax Number
928-753-6343
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
411 Grandview Ave
City
Kingman
State
Arizona
Zip
86401-5745
Phone Number
928-753-6220
Fax Number
928-753-6343
person
Provider Business Mailing Address Details
Address
411 Grandview Ave
City
Kingman
State
Arizona
Zip
86401-5745
Phone Number
928-753-6220
Fax Number
928-753-6343
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1371 (Arizona)
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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