DR. THOMAS R WIEDEMANN (D.D.S.) – General Practice Dentistry, NPI 1790782399

DR. THOMAS R WIEDEMANN (D.D.S.) is a healthcare provider. based in Saint louis, Missouri. specializing in General Practice Dentistry. They hold the professional credentials D.D.S.. They hold a License No. 13165 (MO). The NPI Number for DR. THOMAS R WIEDEMANN (D.D.S.) is 1790782399

Main info

Male
Name
DR. THOMAS R WIEDEMANN (D.D.S.)
NPI
1790782399
Phone
(314) 645-6400
Address
3707 WATSON RD
Enumeration Date
28 June 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THOMAS R WIEDEMANN (D.D.S.)

  • 3707, Watson Road, Lindenwood Park, Southhampton, City of Saint Louis, Missouri, 63109, United States

    SAINT LOUIS, MO 631091236

    Phone: (314) 645-6400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63109)

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Reviews

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Frequently asked questions

What number should I use to identify DR. THOMAS R WIEDEMANN (D.D.S.) for billing?
Administrative and clinical systems typically use NPI 1790782399 for DR. THOMAS R WIEDEMANN (D.D.S.).
Does the public listing show DR. THOMAS R WIEDEMANN (D.D.S.) as active?
DR. THOMAS R WIEDEMANN (D.D.S.)'s NPI record reflects an active status in NPPES.
What type of care does DR. THOMAS R WIEDEMANN (D.D.S.) provide?
DR. THOMAS R WIEDEMANN (D.D.S.)'s profile centers on General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. THOMAS R WIEDEMANN (D.D.S.)?
DR. THOMAS R WIEDEMANN (D.D.S.) is associated with Saint Louis, Missouri in the same public data insurers reference.
Why is information missing for DR. THOMAS R WIEDEMANN (D.D.S.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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