Provider Demographics
NPI:1972558856
Name:WIER, KIRSTIN CAYE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIRSTIN
Middle Name:CAYE
Last Name:WIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 836 BOX 96
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09636-0002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VIA PIERO DELLA FRANCESCA
Practice Address - Street 2:
Practice Address - City:PEDARA
Practice Address - State:CT
Practice Address - Zip Code:95030
Practice Address - Country:IT
Practice Address - Phone:347-185-5849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12198122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist