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JONATHAN P WIENS DDS MSD
NPI 1497894596
Dentist - Oral and Maxillofacial Surgery in West Bloomfield, MI

Active since February 05, 2007
6177 ORCHARD LAKE ROAD, SUITE 120, WEST BLOOMFIELD, MI 48322(248) 855-6655(248) 855-0803 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan P Wiens Dds Msd NPPES

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

JONATHAN P WIENS DDS MSD (NPI 1497894596) is an individual oral and maxillofacial surgery provider in West Bloomfield, Michigan, licensed in Michigan (2901010587) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1497894596
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJONATHAN P WIENSCredential: DDS MSD
Location Address6177 ORCHARD LAKE ROAD, SUITE 120West Bloomfield, MI 48322
Mailing Address6177 Orchard Lake Road, Suite #120West Bloomfield, MI 48322 · (248) 855-6655 · Fax (248) 855-0803
Phone(248) 855-6655
Fax(248) 855-0803
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 30, 2012
✔ NPI 1497894596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901010587
Definition
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.
Also ListedDentistTaxonomy 122300000X · License D10587 (MI)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 2901010587 (MI)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 2901010587 (MI)
6177 ORCHARD LAKE ROAD, West Bloomfield, MI 48322
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Other Identifiers 3

Medicare UPINW20350
Medicaid1940814MI
Medicare ID-Type Unspecified5636772MI

Other Providers at the Same Location NPPES 3

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

STEVEN M LASH DDS
Dentist
6177 ORCHARD LAKE ROAD, SUITE 200
WEST BLOOMFIELD, MI 48322
Oakland County (248) 851-7272
RICHARD J PERSIANI DDS MS
Dentist (Oral and Maxillofacial Surgery)
6177 ORCHARD LAKE ROAD, SUITE #120
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-6655
PROSTHODONTIC & IMPLANT CONSULTANTS PC
Oral & Maxillofacial Surgery
6177 ORCHARD LAKE ROAD, SUITE #120
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-6655

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 Jonathan Wiens's NPI number?

The NPI number for Jonathan Wiens is 1497894596. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Jonathan Wiens located?

Jonathan Wiens practices at 6177 Orchard Lake Road Suite 120, West Bloomfield, MI 48322. The listed phone number is (248) 855-6655.

What is Jonathan Wiens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jonathan Wiens was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.