Jonathan P Wiens
Dentist Prosthodontist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6177 Orchard Lake Road Suite 120
West Bloomfield
, Michigan 48322
Jonathan P Wiens
Dentist Prosthodontist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6177 Orchard Lake Road Suite 120
West Bloomfield
, Michigan 48322
(248) 855-0803
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About
Features
Specialties
- Dentist
- Prosthodontist
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jonathan P Wiens
- 6177 Orchard Lake Road Suite #120
- West Bloomfield, MI
- Zip : 48322
- Fax : (248) 855-0803
- Phone : (248) 855-6655
Second Address
- Jonathan P Wiens
- 6177 Orchard Lake Road Suite 120
- West Bloomfield, MI
- Zip : 48322
- Fax : (248) 855-0803
- Phone : (248) 855-6655
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | D10587 | MI |
| N | 1223P0700X | Prosthodontist | 2901010587 | MI |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2901010587 | MI |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 2901010587 | MI |
National Provider Identifier
| NPI | 1497894596 |
|---|---|
| Provider Name | Jonathan P Wiens |
| First Address | West Bloomfield, MI 48322 |
| Second Address | West Bloomfield, MI 48322 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 30/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1940814 | (05) | MI |
| W20350 | (02) |
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.