Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN JOHN WISNIESKI, DDS
ActiveGLENN JOHN WISNIESKI, DDS is a General Dentistry healthcare provider located in WALKERTON, Indiana. NPI 1275658056 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WALKERTON, IN
Registration Details
- NPI Number
- 1275658056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.386864914998 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12007003A (IN)
Practice Information
- Address
-
409 ROOSEVELT RDWALKERTON, IN, 46574Browse IN providers · Browse ZIP 46574
- Phone
- 5745863242
- Fax
- 5746863242
- Primary Specialty
-
General Dentistry
1223G0001X
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.