Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY HERBERT WISWALL, D.D.S., M.S.
Active Sole ProprietorJEFFREY HERBERT WISWALL, D.D.S., M.S. is a Endodontics healthcare provider located in RAPID CITY, South Dakota. NPI 1063592160 is currently active in the NPPES registry. Verify at CMS.
Endodontics · RAPID CITY, SD
Registration Details
- NPI Number
- 1063592160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.78745377144 yrs)
- Last Updated
- Mar 3, 2011
- License
-
M967 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2525 W MAIN ST STE 307RAPID CITY, SD, 577022443Browse SD providers · Browse ZIP 57702
- Phone
- 6057163546
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in RAPID CITY, SD
| Name | Credential | NPI |
|---|---|---|
| DR. NATHAN WILLIAM SCHWANDT | D.D.S. | 1609966779 |
| DR. MARK ELLIOTT HOGG | DDS, SCD | 1245386168 |
| DR. STEVEN FREDERICK WISWALL | DMD, MS | 1316389117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.