Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Wiesse, DDS, PA

Organization General Practice Dentistry · NPI 1245621523

Carlos Wiesse, DDS, PA is a General Practice Dentistry in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5535 Lake Ridge Pkwy
Grand Prairie, TX 75052-8515
Phone: (817) 649-8888
Fax: (817) 649-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 15548 (TX)

Record details

NPI number1245621523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Wiesse — Dentist · (817) 649-8888
NPI enumeratedFebruary 9, 2015
Last updated in NPPESFebruary 9, 2015
Mailing address5535 Lake Ridge Pkwy, Grand Prairie, TX 75052-8515

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