Jennifer L Wiens -Priebe
Dentist Oral & Maxillofacial Surgeon
6177 Orchard Lake Rd Ste # 120
West Bloomfield
, Michigan 48322-2388
Jennifer L Wiens -Priebe
Dentist Oral & Maxillofacial Surgeon
6177 Orchard Lake Rd Ste # 120
West Bloomfield
, Michigan 48322-2388
(248) 855-6655
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About
Features
Specialties
- Dentist
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jennifer L Wiens -Priebe
- 6177 Orchard Lake Rd Ste #120
- West Bloomfield, MI
- Zip : 48322-2388
- Phone : (248) 855-6655
Second Address
- Jennifer L Wiens -Priebe
- 6177 Orchard Lake Rd Ste # 120
- West Bloomfield, MI
- Zip : 48322-2388
- Phone : (248) 855-6655
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Is Jennifer L Wiens -Priebe a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | D18270 | MI |
| N | 204E00000X | Oral & Maxillofacial Surgeon | D12639 | MN |
National Provider Identifier
| NPI | 1457573743 |
|---|---|
| Provider Name | Jennifer L Wiens -Priebe |
| First Address | West Bloomfield, MI 48322-2388 |
| Second Address | West Bloomfield, MI 48322-2388 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 30/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.