Dr. Thomas R Wiedemann is a Saint Louis, Missouri based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Thomas R Wiedemann is 13165 for General Practice Dentistry in Missouri. His current practice location is 3707 Watson Rd, Saint Louis. Patients can reach him at 314-645-6400.
Dr. Thomas R Wiedemann is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Thomas R Wiedemann speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Thomas R Wiedemann
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
3707 Watson Rd, Saint Louis, Missouri, 63109-1236
Phone:
314-645-6400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790782399
NPI Enumeration Date:
28 Jun, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thomas R Wiedemann are as mentioned below.
License Number
Specialization
State
Status
13165
General Practice Dentistry
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Thomas R Wiedemann such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
13165
Other
Missouri
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3707 Watson Rd, Saint Louis, Missouri
Zip:
63109-1236
Phone Number:
314-645-6400
Patients can reach Dr. Thomas R Wiedemann at 3707 Watson Rd, Saint Louis, Missouri or can call to book an appointment on 314-645-6400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.