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BENJAMIN THOMAS WIETECHA DMD
NPI 1093140360
Dentist in Columbia, SC

Active since September 05, 2013PECOS Enrolled
10 MEDICAL PARK, DENTAL CENTER, COLUMBIA, SC 29203(803) 434-6567(803) 434-6299 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin Thomas Wietecha Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN THOMAS WIETECHA DMD (NPI 1093140360) is an individual dentist in Columbia, South Carolina, licensed in South Carolina (8293) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093140360
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBENJAMIN THOMAS WIETECHACredential: DMD
Location Address10 MEDICAL PARK, DENTAL CENTERColumbia, SC 29203
Mailing Address10 Medical Park, Dental CenterColumbia, SC 29203 · (803) 434-6567 · Fax (803) 434-6299
Phone(803) 434-6567
Fax(803) 434-6299
Sole ProprietorNo
Enumeration DateSeptember 5, 2013
✔ NPI 1093140360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 8293
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10 MEDICAL PARK, Columbia, SC 29203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Thomas Wietecha Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA ANN WHITEHEAD DME
Dentist (General Practice)
10 MEDICAL PARK, PALMETTO HEALTH RICHLAND - DENTAL EDUC
COLUMBIA, SC 29203
Richland County (803) 434-6567
PHILLIP SCOTT MCABEE DMD
Dentist (General Practice)
10 MEDICAL PARK, DENTAL CENTER
COLUMBIA, SC 29203
Richland County (803) 434-6567
MRS. JOYCE L DAVIS-JAMES RN
Registered Nurse
10 MEDICAL PARK
COLUMBIA, SC 29203
Richland County (803) 898-8888
DANIEL WESLEY HALL D.M.D.
Dentist (General Practice)
10 MEDICAL PARK, DENTAL DEPARTMENT
COLUMBIA, SC 29203
Richland County (803) 434-6567
KOSHA R SHAH DMD
Dentist
10 MEDICAL PARK, DENTAL CENTER
COLUMBIA, SC 29203
Richland County (803) 434-6567
SHIVANI A PATEL DMD
Dentist (General Practice)
10 MEDICAL PARK, PH RICHLAND DENTAL DEPARTMENT -
COLUMBIA, SC 29203
Richland County (803) 434-6567
LAUREN MICHELE MAAS D.M.D.
Dentist (General Practice)
10 MEDICAL PARK, DENTAL DEPARTMENT
COLUMBIA, SC 29203
Richland County (803) 434-6567
MADELINE DEMARSH PHARMD
Pharmacist
10 MEDICAL PARK
COLUMBIA, SC 29203
Richland County (803) 434-6482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Wietecha's NPI number?

The NPI number for Benjamin Wietecha is 1093140360. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Benjamin Wietecha located?

Benjamin Wietecha practices at 10 Medical Park Dental Center, Columbia, SC 29203. The listed phone number is (803) 434-6567.

What is Benjamin Wietecha's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Benjamin Wietecha enrolled in Medicare?

Yes. Benjamin Wietecha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Wietecha was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.