Robert Wiesen DDS Ms PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ROBERT WIESEN DDS MS PLLC

Practice address

8235 Holly Rd Ste 2
Grand Blanc, MI 48439-2441

Phone

(810) 584-7275

NPI assigned

Mar 7, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Michael Wiesen Jr., DDS, MSNPI 1790005320

Title

Endodontist

Phone

(810) 584-7275

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Michael Wiesen Jr., D.D.S

  • Dentist
  • Grand Blanc, MI
  • NPI 1790005320
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1831957562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 HOLLY RD STE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-584-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 HOLLY RD STE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-584-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WIESEN DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "WIESEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "810-584-7275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lulu A Robbins, CRNA
• Kayla Robbs
• Jillian Elizabeth Roberson, MD
• Robert Bouvier MD, PLC
• Robert L Hamilton DO PC
• Alexandria Irene Roberts
• Jai'Air Roberts
• Ryan J Roberts, D.O.
• Tracy Rae Roberts
• Shelby Marie Robertson, LMSW

• Endodontics in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.