Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740856780 Individual Practitioner Female Practitioner

Dr. Michaela Rae Wiseman , DDS

Dentist - General Practice • Midlothian, TX

Professional Overview & Biography Verified Profile Summary

Dr. Michaela Wiseman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Midlothian, TX. Practice services are available at 2040 FM 633 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2040 Fm 633
#420

Midlothian, TX 76065

Telephone 9725284802
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midlothian, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Midlothian, TX (10570 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

CMS Verified: 2022-07-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 38329

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License NM TD-00-140

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1 University Of New Mexico

Albuquerque, NM 871314516

Phone: 5057202019

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Timothy Dinh , DDS

Dentist - General Practice

NPI 1043096852

Doctor of Dental Surgery

Dr. Bart Hays , DDS

Dentist - General Practice

NPI 1174009880

Doctor of Dental Surgery

Josephine Wang

Dentist - General Practice

NPI 1710685300

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 22, 2022

Registered at 2040 FM 633, #420, MIDLOTHIAN, TX 76065 (Tel: 9725284802)

📍
Updated Business Mailing Address July 22, 2022

Registered at 2040 FM 663 STE 420, MIDLOTHIAN, TX 760656571 (Tel: 3179087278)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Student in an Organized Health Care Education/Training Program (License #TD-00-140 in NM)

NPI Profile Active June 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2021

Registered at 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871314516 (Tel: 5057202019)

📍
Updated Business Mailing Address June 14, 2021

Registered at 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 3179087278)

👤
Provider Name / Credentials Updated June 14, 2021

Recorded as MICHAELA WISEMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 01, 2021

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: 1740856780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2021
Last Update: July 22, 2022
Sole Proprietor: No

Mailing Address

2040 Fm 663 Ste 420

Midlothian, TX 760656571

Phone: 3179087278

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.