DR. TRYSTAN RICHARD WIEDOW DDS
NPI 1427639038
Dentist - Oral and Maxillofacial Surgery in Green Bay, WI
About Dr. Trystan Richard Wiedow Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRYSTAN RICHARD WIEDOW DDS (NPI 1427639038) is an individual oral and maxillofacial surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (1002773-15) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
An oral and maxillofacial surgery dentist specialized in 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Trystan Richard Wiedow Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54304
GREEN BAY, WI 54304
GREEN BAY, WI 54304
GREEN BAY, WI 54304
GREEN BAY, WI 54304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427639038, enumerated as an "individual" on April 15, 2021.
The provider is located at 2353 S RIDGE RD GREEN BAY, WI 54304 and the phone number is (920) 499-0471.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
