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

Jonathan P Wiens, DDSMSD

Individual provider Dentist · NPI 1497894596

Jonathan P Wiens, DDSMSD is a Dentist in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

6177 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322
Phone: (248) 855-6655
Fax: (248) 855-0803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2901010587 (MI)
Dentist Taxonomy 122300000X · Licence D10587 (MI)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 2901010587 (MI)
Prosthodontics Taxonomy 1223P0700X · Licence 2901010587 (MI)

Record details

NPI number1497894596
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMSD
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 30, 2012
Mailing address6177 Orchard Lake Road, Suite #120, West Bloomfield, MI 48322

Other providers in West Bloomfield