John R. Wiens
Dentist Endodontist
1030 29th Ave Sw
Albany
, Oregon 97321-3416
John R. Wiens
Dentist Endodontist
1030 29th Ave Sw
Albany
, Oregon 97321-3416
(559) 906-1984
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About
Features
Specialties
- Dentist
- Endodontist
Languages spoken
- English
Location
First Address
- John R. Wiens
- Po Box 399
- Albany, OR
- Zip : 97321-0116
- Phone : (559) 906-1984
Second Address
- John R. Wiens
- 1030 29th Ave Sw
- Albany, OR
- Zip : 97321-3416
- Phone : (541) 924-1190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 62455 | CA |
| Y | 1223E0200X | Endodontist | D11255 | OR |
National Provider Identifier
| NPI | 1114368776 |
|---|---|
| Provider Name | John R. Wiens |
| First Address | Albany, OR 97321-0116 |
| Second Address | Albany, OR 97321-3416 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2013 |
| Last Update Date | 31/07/2020 |
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.