| Joel C Wieczorek Dds Pc | |
|
106 W Blackwell St Tullahoma TN 37388 | |
| (931) 461-5533 | |
| Not Available |
| Full Name | Joel C Wieczorek Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 W Blackwell St, Tullahoma, Tennessee |
| Authorized Official Name and Position | Joel C Wieczorek (DENTIST PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 9314615533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel C Wieczorek Dds Pc 106 W Blackwell St Tullahoma TN 37388 Ph: (931) 461-5533 | Joel C Wieczorek Dds Pc 106 W Blackwell St Tullahoma TN 37388 Ph: (931) 461-5533 |
| NPI Number | 1912121872 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912121872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0000007411 (Tennessee) | Primary |
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