What is Gary Wiele's NPI number?

The NPI number assigned to this healthcare provider is 1790876167, enumerated as a individual on September 28, 2006.

Where is the provider located?

The provider is located at 2821 N BALLAS RD STE 260 ST LOUIS, MO 63131 and the phone number is (314) 475-5333.

What is the provider's specialty?

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

MR. GARY BRIAN WIELE DDS - NPI 1790876167

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About Mr. Gary Brian Wiele Dds NPPES

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

MR. GARY BRIAN WIELE DDS (NPI 1790876167) is an individual general practice provider in St Louis, Missouri, licensed in Missouri (13937) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1790876167

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. GARY BRIAN WIELECredential: DDS

Location Address2821 N BALLAS RD, STE 260St Louis, MO 63131

Mailing Address2821 N Ballas Rd, Ste 260St Louis, MO 63131 · (314) 475-5333 · Fax (314) 475-5334

Phone(314) 475-5333

Fax(314) 475-5334

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateSeptember 1, 2023

✔ NPI 1790876167 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 · 13937

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.

2821 N BALLAS RD, St Louis, MO 63131

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