Individual
DR. ALFRED H WIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD.,MS
Contact information
Practice address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5831
Mailing address
800 ROSE ST RM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5967
KY
1223E0200X
Endodontics
Primary
5967
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100137340
—
KY
Enumeration date
06/01/2007
Last updated
01/20/2015
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