IndividualActive
Carol Wiese, DDS
NPI 1215374335 · Pediatric Dentistry · Rapid City, SD
Provider details
- NPI number
- 1215374335
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 2901020964 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
700 Sheridan Lake Rd.
Rapid City, SD 57702
Phone: (605) 721-6634
Fax: (605) 341-5757
Approximate (ZIP-level) locationGet directions
Mailing address
700 Sheridan Lake Rd
Rapid City, SD 57702-2407
Registry dates
- Enumerated
- 2013-05-30
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.