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General NPI Number Information
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NPI Number | 1659390656
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Entity Type | Organization
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Legal Business Name | WIEMEYER DENTISTRY PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11 WASHINGTON ST
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City | DUXBURY
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State | MA
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Zip | 02332
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Country | US
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Telephone | 781-934-5292
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Fax | 781-934-3241
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Provider Business Mailing Address
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Address Line | PO BOX 1687
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City | DUXBURY
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State | MA
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Zip | 02331-1687
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Country | US
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Telephone | 781-934-5292
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Fax | 781-934-3241
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Authorized Official
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Title or Position | DENTIST PRESIDENT
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Name | DR. ANDREW SCOTT WIEMEYER
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Credential | DMD
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Telephone | 781-934-5292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 20230
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11664
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License Number State | MA
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