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

Wiesemann Orthodontics Inc PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1740574458

Wiesemann Orthodontics Inc PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Bowling Green, Kentucky. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

894 Fred Lively Rd
Bowling Green, KY 42104-7424
Phone: (616) 325-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 8503 (TN)

Record details

NPI number1740574458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Wiesemann — Orthodontists/Owner · (615) 325-4677
NPI enumeratedMay 31, 2011
Last updated in NPPESMay 31, 2011
Mailing address323 West Dr, White House, TN 37188-9294

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