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

Dr. Mark Joseph Wiesen, DDS

Individual provider Periodontics · NPI 1649311440

Dr. Mark Joseph Wiesen, DDS is a Periodontics in San Francisco, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

450 Sutter St Ste 2400
San Francisco, CA 94108-4206
Phone: (415) 989-0550
Fax: (415) 989-0554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 44640 (CA)

Record details

NPI number1649311440
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJuly 8, 2007

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