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Active NPI 1104814029 Individual Practitioner Male Practitioner

Dr. Nicholas Wiese , DDS

Dentist • Faribault, MN

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Wiese, DDS is a registered healthcare professional specializing in Dentist in Faribault, MN. Practice services are available at 417 LINCOLN AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

417 Lincoln Ave Nw

Faribault, MN 550214952

Telephone 5073327608
Associated Practice Facility / Clinic
🏢 Thomas Backenstose Facility NPI 1225196330

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Faribault, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Faribault, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D11401

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 417 LINCOLN AVE NW, FARIBAULT, MN 550214952 (Tel: 5073327608)

📍
Updated Business Mailing Address July 08, 2007

Registered at 417 LINCOLN AVE NW, FARIBAULT, MN 550214952 (Tel: 5073327608)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICHOLAS WIESE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D11401 in MN)

🟢
Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104814029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

417 Lincoln Ave Nw

Faribault, MN 550214952

Phone: 5073327608

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.