Carol Wiese, DDS | |
700 Sheridan Lake Rd., Rapid City, SD 57702 | |
(605) 721-6634 | |
(605) 341-5757 |
Full Name | Carol Wiese |
---|---|
Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 700 Sheridan Lake Rd., Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215374335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901020964 (Michigan) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | D1361 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Carol Wiese, DDS 700 Sheridan Lake Rd, Rapid City, SD 57702-2407 Ph: (605) 721-6634 | Carol Wiese, DDS 700 Sheridan Lake Rd., Rapid City, SD 57702 Ph: (605) 721-6634 |
Kelly Lytle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Jackson Blvd, Rapid City, SD 57702 Phone: 605-342-0989 | |
Dr. Sierra Rae Schafer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1147 Eglin St, Rapid City, SD 57701 Phone: 605-865-2123 | |
Mason Alexander Hericks, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703 Phone: 605-737-3150 | |
Dr. Jack H Weaver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3712 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-342-3939 Fax: 605-341-2766 | |
Dr. Harold A Doerr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
Dr. Bart Aaron Samuelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Federal Ave, Rapid City, SD 57702 Phone: 605-348-4657 Fax: 605-348-4382 | |
Jeffrey Herbert Wiswall, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St Ste 307, Rapid City, SD 57702 Phone: 605-716-3546 |