| Dr Brian A Wiedemer, DDS | |
|
86-260 Farrington Hwy, Waianae, HI 96792-3128 | |
| (808) 697-3496 | |
| Not Available |
| Full Name | Dr Brian A Wiedemer |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 86-260 Farrington Hwy, Waianae, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730293549 | NPI | - | NPPES |
| 19234-MI | Other | MI | DELTA DENTAL |
| 4823188 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019234 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | CSDT-38 (Hawaii) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian A Wiedemer, DDS 86-260 Farrington Hwy, Waianae, HI 96792-3128 Ph: (808) 697-3496 | Dr Brian A Wiedemer, DDS 86-260 Farrington Hwy, Waianae, HI 96792-3128 Ph: (808) 697-3496 |
Dr. Brandon Kanetani, DDS Dentist Medicare: Medicare Enrolled Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3496 | |
Erlinda Pelagio, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 86-078 Farrington Hwy, Suuite 210, Waianae, HI 96792 Phone: 808-697-1310 Fax: 808-696-1351 | |
Dr. Richard A Tesoro, DDS Dentist Medicare: Medicare Enrolled Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-696-7081 Fax: 808-696-7093 | |
Kamille Torres, DDS Dentist Medicare: Medicare Enrolled Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3496 | |
Dr. Kacy Renee Lane, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3496 | |
Neal J Timon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 85-910 Farrington Hwy, Waianae, HI 96792 Phone: 808-224-2697 | |
Dr. Clarence E. Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 85-876 Farrington Hwy, Suite 202, Waianae, HI 96792 Phone: 808-696-4049 Fax: 808-696-4188 |