Provider Demographics
NPI:1174667612
Name:WIER, ROBERT STEVEN (ROBERT S WIER DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVEN
Last Name:WIER
Suffix:
Gender:M
Credentials:ROBERT S WIER DDS
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:STEVEN
Other - Last Name:WIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ROBERT S WIER DDS
Mailing Address - Street 1:4720 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2010
Mailing Address - Country:US
Mailing Address - Phone:773-334-2150
Mailing Address - Fax:773-334-0490
Practice Address - Street 1:4720 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2010
Practice Address - Country:US
Practice Address - Phone:773-334-2150
Practice Address - Fax:773-334-0490
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice