Individual
DR. JAMES N WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 986-9199
Mailing address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 986-9199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000728971001
BC BS
NY
01
—
161294447
NOVA
NY
01
—
16294447-0002
GHI
NY
01
—
4014142
INDEPENDENT HEALTH
NY
Enumeration date
04/25/2007
Last updated
09/08/2023
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