Trystan Richard Wiedow, DDS
Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI
Trystan Richard Wiedow, DDS is an oral and maxillofacial surgery (dentist) with a practice address in Green Bay, Wisconsin, and NPI 1427639038, issued on Apr 15, 2021. Check the license (Wisconsin 1002773-15, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Trystan Richard Wiedow
- Credential
- DDS
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License numbers
- 1002773-15 WI
1002773 WI
RES-30614 IA
Self-reported in NPPES; status is on the state search - Practice location
- 2353 S Ridge RD, Green Bay, WI 54304
- Phone
- (920) 499-0471
- Enumerated
- Apr 15, 2021
- Record last updated
- Jun 20, 2026
- Entity
- Type 1 · individual
8 nearest oral and maxillofacial surgery (dentist) records → All 155 in Wisconsin → Look up another NPI →
Also registered at 2353 S Ridge RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ardit Haxhia, DDSOral and Maxillofacial Surgery (Dentist)1427638170
- Bradley Koch, D.D.S.Oral and Maxillofacial Surgery (Dentist)1013921196
- David Lemoine, D.D.S.Oral and Maxillofacial Surgery (Dentist)1447264502
- Timothy Lemoine, DDSOral and Maxillofacial Surgery (Dentist)1093394777
- Andrew Lulloff, D.D.S.Endodontics1881608974
- Michael Miskella, D.D.S.Oral and Maxillofacial Surgery (Dentist)1588688105
Verify Trystan Richard Wiedow in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 1002773-15Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
76% fewer Medicare Part D claims than the average oral and maxillofacial surgery (dentist) in 2024
99 Medicare Part D claims for 61 beneficiaries, against an average of 406 among the 5,870 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 19 claims were for opioids.
Most prescribed
- Amoxicillin32 claims
- Chlorhexidine Gluconate16 claims
- Hydrocodone-Acetaminophen14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Trystan Richard Wiedow among 155 oral and maxillofacial surgery (dentist) records in Wisconsin
Trystan Richard Wiedow, DDS is one of 155 oral and maxillofacial surgery (dentist) records with a practice address in Wisconsin. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 96% of them.
- NPI issued2021 · 96% of these records are older, 1% newer
- In a Medicare fileYes · 64% of these records are
- In the CMS Doctors and Clinicians fileNo · 19% of these records are
- Record last updated2026 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral and Maxillofacial Surgery (Dentist) providers in Wisconsin
There are 155 oral and maxillofacial surgery (dentist) records in Wisconsin.
All 155 in Wisconsin → Every provider in Green Bay → Oral and Maxillofacial Surgery (Dentist) nationwide →
The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes
- Charles Ellis, DDS, MDGreen Bay, WI 543041013098698
- Ardit Haxhia, DDSGreen Bay, WI 543041427638170
- Bradley Koch, D.D.S.Green Bay, WI 543041013921196
- David Lemoine, D.D.S.Green Bay, WI 543041447264502
- Timothy Lemoine, DDSGreen Bay, WI 543041093394777
- Michael Miskella, D.D.S.Green Bay, WI 543041588688105
- Vijay Parmar, D.D.S.Green Bay, WI 543041447274071
- Marie Cineus, DDSGreen Bay, WI 543011609496595
Common questions
What is Trystan Richard Wiedow, DDS's NPI number?
Trystan Richard Wiedow, DDS's National Provider Identifier (NPI) is 1427639038, issued on Apr 15, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Trystan Richard Wiedow, DDS located?
The NPPES record lists a practice address at 2353 S Ridge RD, Green Bay, WI, 54304. Phone: (920) 499-0471. Providers update this record themselves, so call before visiting.
How can I verify Trystan Richard Wiedow, DDS's license?
NPPES lists Wisconsin license number 1002773-15, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
How much does Trystan Richard Wiedow, DDS prescribe under Medicare Part D?
In 2024, Trystan Richard Wiedow, DDS had 99 Medicare Part D claims for 61 beneficiaries; the average among oral and maxillofacial surgery (dentist) prescribers was 406. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.