Search › Missouri › 207Q00000X
Brandon Wiese, DO
NPI 1720373673 · on the registry since 2011
Practice
- Address
- 900 E Battlefield St Ste 124
Springfield, MO 65807 - Phone
- (417) 986-1289
- Organisation at this address
- Springfield Dentistry 4 Kids Llc
Mercy Southern Missouri Ambulatory Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 2150 W Republic Rd Ste 112, Springfield, MO
- 3805 S Kansas Expy Ste B, Springfield, MO
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- TX, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri