Wiese, Carol

Wiese, Carol is an individual health care provider with primary practice located at 700 Sheridan Lake Rd. , Rapid City SD 57702. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Wiese, Carol can be contacted via phone (605) 721-6634.

Contact Information

Primary practice address
700 Sheridan Lake Rd. Rapid City SD 57702
Phone: (605) 721-6634
Fax: (605) 341-5757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901020964 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X D1361 South Dakota

Profile Details

NPI number 1215374335
LBN Legal business name Wiese, Carol
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2013
Last updated Sep 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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