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

Thomas R. Wiedemann, DDS, PC

Organization Dental Clinic/Center · NPI 1245390798

Thomas R. Wiedemann, DDS, PC is a Dental Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3707 Watson Rd
Saint Louis, MO 63109-1236
Phone: (314) 645-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 13165 (MO)

Record details

NPI number1245390798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Wiedemann — President · (314) 645-6400
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3707 Watson Rd, Saint Louis, MO 63109-1236

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