Joel C Wieczorek DDS PC

NPI #1912121872 in Tullahoma, Tennessee

Provider Information

NPI Number: 1912121872
Entity Type: Organization
Organization Name: Joel C Wieczorek DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 12, 2007
Last Updated: Mar 25, 2011

Practice Location

Address: 106 W BLACKWELL ST
City: Tullahoma
State: Tennessee
ZIP Code: 37388
Phone: (931) 461-5533

Authorized Official

Name: DR. JOEL C WIECZOREK, DDS
Title: DENTIST PRESIDENT OF CORPORATION
Phone: (931) 461-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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