THOMAS R. WIEDEMANN, DDS,PC
NPI 1245390798
Clinic/Center - Dental in Saint Louis, MO

Active since December 12, 2006
3707 WATSON RD, SAINT LOUIS, MO 63109(314) 645-6400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas R. Wiedemann, Dds,pc NPPES

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

THOMAS R. WIEDEMANN, DDS,PC (NPI 1245390798) is a healthcare organization registered as a dental in Saint Louis, Missouri and active in the NPI registry since December 2006. The organization lists Thomas R Wiedemann, President, as its authorized official.

NPPES Registry Identity

NPI1245390798
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHOMAS R. WIEDEMANN, DDS,PC
Location Address3707 WATSON RDSaint Louis, MO 63109-1236
Mailing Address3707 Watson RdSaint Louis, MO 63109-1236 · (314) 645-6400
Organization SubpartNo
Authorized OfficialThomas R WiedemannPresident · (314) 645-6400
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1245390798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MO · 13165
3707 WATSON RD, Saint Louis, MO 63109

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
3707 WATSON RD
SAINT LOUIS, MO 63109
Dentist (General Practice)
3707 WATSON RD
SAINT LOUIS, MO 63109
Dentist
3707 WATSON RD
SAINT LOUIS, MO 63109
Dentist (General Practice)
3707 WATSON RD
SAINT LOUIS, MO 63109

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 Thomas R. Wiedemann, Dds,pc's NPI number?

The NPI number for Thomas R. Wiedemann, Dds,pc is 1245390798. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Thomas R. Wiedemann, Dds,pc located?

Thomas R. Wiedemann, Dds,pc is located at 3707 Watson Rd, Saint Louis, MO 63109. The listed phone number is (314) 645-6400.

What is Thomas R. Wiedemann, Dds,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Thomas R. Wiedemann, Dds,pc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.