Dr. Trystan Richard Wiedow is a Green Bay, Wisconsin based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Trystan Richard Wiedow is
1002773-15 for Oral and Maxillofacial Surgery in Wisconsin. His current practice location is
2353 S Ridge Rd, Green Bay. Patients can reach him at
920-499-0471.
Dr. Trystan Richard Wiedow deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Trystan Richard Wiedow 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. Trystan Richard Wiedow |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2353 S Ridge Rd, Green Bay,
Wisconsin, 54304-5857 |
| Phone: | 920-499-0471 |
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: | 1427639038 |
| NPI Enumeration Date: | 15 Apr, 2021 |
| NPI Last Update On: | 20 Jun, 2026 |
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. Trystan Richard Wiedow are as mentioned below.
| License Number | Specialization | State | Status | |
| 1002773-15 | Oral and Maxillofacial Surgery | Wisconsin | Primary | |
| 1002773 | Student in an Organized Health Care Education/Training Program | Wisconsin | Secondary | |
| RES-30614 | Student in an Organized Health Care Education/Training Program | Iowa | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2353 S Ridge Rd Ste 1,
Green Bay, Wisconsin |
| Zip: | 54304-5069 |
Patients can reach Dr. Trystan Richard Wiedow at
2353 S Ridge Rd, Green Bay, Wisconsin or can
call to book an appointment on 920-499-0471.
Comments/ Reviews:
Read all the reviews posted for Dr. Trystan Richard Wiedow below. You may also share your own experience with Dr. Trystan Richard Wiedow. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.