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DR. THOMAS R WIEDEMANN D.D.S.
NPI 1790782399
Dentist - General Practice in Saint Louis, MO

Active since June 28, 2005
3707 WATSON RD, SAINT LOUIS, MO 63109(314) 645-6400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas R Wiedemann D.d.s. NPPES

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

DR. THOMAS R WIEDEMANN D.D.S. (NPI 1790782399) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (13165) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1790782399
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS R WIEDEMANNCredential: D.D.S.
Location Address3707 WATSON RDSaint Louis, MO 63109-1236
Mailing Address3707 Watson RdSaint Louis, MO 63109-1236 · (314) 645-6400
Phone(314) 645-6400
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790782399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 13165
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.
3707 WATSON RD, Saint Louis, MO 63109
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Other Identifiers 1

Other13165MO · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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.

THOMAS R. WIEDEMANN, DDS,PC
Clinic/Center (Dental)
3707 WATSON RD
SAINT LOUIS, MO 63109
St. Louis City (314) 645-6400
DR. MICHAEL PATRICK BARRY DMD
Dentist (General Practice)
3707 WATSON RD
SAINT LOUIS, MO 63109
St. Louis City (314) 645-6400
DR. STEPHEN EUGENE CHRISTY D.M.D.
Dentist
3707 WATSON RD
SAINT LOUIS, MO 63109
St. Louis City (314) 645-6400
JASON L ALLEN DMD
Dentist (General Practice)
3707 WATSON RD
SAINT LOUIS, MO 63109
St. Louis City (314) 645-6400

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 Wiedemann's NPI number?

The NPI number for Thomas Wiedemann is 1790782399. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Thomas Wiedemann located?

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

What is Thomas Wiedemann's specialty?

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

What insurance does Thomas Wiedemann accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thomas Wiedemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Wiedemann was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.