# DR. PETER E. WIESEL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710211388
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DD101628200 | NJ | Yes |
| 1223P0700X | Prosthodontics | 3554 | NJ | — |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 09/29/2009