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

Dominik Wietrzynski, DDS

Individual provider Dentist · NPI 1750693149

Dominik Wietrzynski, DDS is a Dentist in Warren, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2010.

Licensed in
IL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11552 E 12 Mile Rd
Warren, MI 48093-2644
Phone: (586) 573-2533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901020331 (MI)
Dentist Taxonomy 122300000X · Licence 019.028405 (IL)

Record details

NPI number1750693149
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESSeptember 8, 2011
Mailing address11552 E 12 Mile Rd, Warren, MI 48093-2644

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