DR. SANDON SCOTT WIEDEMANN D.M.D. - NPI 1689018608

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Sandon Scott Wiedemann D.m.d. NPPES

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

DR. SANDON SCOTT WIEDEMANN D.M.D. (NPI 1689018608) is an individual general practice provider in Ravenna, Ohio, licensed in Ohio ((NOT AVAILABLE YET)) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1689018608

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SANDON SCOTT WIEDEMANNCredential: D.M.D.

Location Address250 S CHESTNUT ST STE 30Ravenna, OH 44266-3031

Mailing Address250 S Chestnut St Ste 30Ravenna, OH 44266-3031 · (330) 297-7009

Phone(330) 297-7009

Sole ProprietorYes

Enumeration DateApril 21, 2013

Last NPPES UpdateMay 29, 2013

✔ NPI 1689018608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · (NOT AVAILABLE YET)

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.

250 S CHESTNUT ST STE 30, Ravenna, OH 44266

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