Active NPI
Jennifer Lynn-Wiens Priebe, DDS, MS
- Dentist
- West Bloomfield, MI
National Provider Identifier
1457573743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D18270
- Practice address
- 6016 W Maple Rd Ste 710
West Bloomfield, MI 48322-4411 - Phone
- (248) 855-6655
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D18270 | MI | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | D12639 | MN |
Addresses
Primary practice location
6016 W Maple Rd Ste 710
West Bloomfield, MI 48322-4411
Mailing address
6016 W Maple Rd Ste 710
West Bloomfield, MI 48322-4411
Phone (248) 855-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D18270 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1457573743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6016 W MAPLE RD STE 710",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224411",
"telephone_number": "248-855-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6016 W MAPLE RD STE 710",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224411",
"telephone_number": "248-855-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEBE",
"first_name": "JENNIFER",
"middle_name": "LYNN-WIENS",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "D18270",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MN",
"license": "D12639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.