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CARLOS WIESSE, DDS, PA
NPI 1245621523
Dentist - General Practice in Grand Prairie, TX

Active since February 09, 2015
5535 LAKE RIDGE PKWY, GRAND PRAIRIE, TX 75052(817) 649-8888(817) 649-8889 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carlos Wiesse, Dds, Pa NPPES

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

CARLOS WIESSE, DDS, PA (NPI 1245621523) is a healthcare organization registered as a general practice in Grand Prairie, Texas and active in the NPI registry since February 2015. The organization lists Carlos Wiesse, Dentist, as its authorized official.

NPPES Registry Identity

NPI1245621523
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCARLOS WIESSE, DDS, PA
Location Address5535 LAKE RIDGE PKWYGrand Prairie, TX 75052-8515
Mailing Address5535 Lake Ridge PkwyGrand Prairie, TX 75052-8515 · (817) 649-8888 · Fax (817) 649-8889
Phone(817) 649-8888
Fax(817) 649-8889
Organization SubpartNo
Authorized OfficialCarlos WiesseDentist · (817) 649-8888
Enumeration DateFebruary 9, 2015
✔ NPI 1245621523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 15548
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5535 LAKE RIDGE PKWY, Grand Prairie, TX 75052
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Carlos Wiesse, Dds, PA's NPI number?

The NPI number for Carlos Wiesse, Dds, PA is 1245621523. It was assigned to this organization in the NPPES registry on February 9, 2015.

Where is Carlos Wiesse, Dds, PA located?

Carlos Wiesse, Dds, PA is located at 5535 Lake Ridge Pkwy, Grand Prairie, TX 75052. The listed phone number is (817) 649-8888.

What is Carlos Wiesse, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Carlos Wiesse, Dds, PA was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.