# WENDY M PIETZ, DDS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235251125
- **Authorized official:** DR. WENDY M PIETZ DDS (PRESIDENT)
- **Authorized official phone:** (414) 281-1881

## Contact information

- **Practice address:** 4600 W LOOMIS RD, SUITE 220, GREENFIELD, WI 53220-4858
- **Practice address phone:** (414) 281-1881
- **Practice address fax:** (414) 281-2745
- **Mailing address:** 4600 W LOOMIS RD, SUITE 220, GREENFIELD, WI 53220-4858
- **Mailing address phone:** (414) 281-1881
- **Mailing address fax:** (414) 281-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5736 | WI | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 03/24/2017