National Provider Identifier Database

CHAD R WIERSEMA, DDS – NPI #1427114115
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

CHAD R WIERSEMA, DDS
18130 HALSTED ST
HOMEWOOD, IL60430-2507
Phone: 708-799-2550
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for CHAD R WIERSEMA

NPI Number 1427114115
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/28/2006
Last updated 03/01/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 019026244
  • IL License #: 021002195
  • IN License #: 12010886A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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