Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY WISOWATY
Active Sole ProprietorBRADLEY WISOWATY is a Dentist healthcare provider located in VALPARAISO, Indiana. NPI 1306229562 is currently active in the NPPES registry. Verify at CMS.
Dentist · VALPARAISO, IN
Registration Details
- NPI Number
- 1306229562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2015 (11.116628697276 yrs)
- Last Updated
- Nov 27, 2018
- Licenses
-
12012301A (IN)12012301A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
809 WALL ST STE AVALPARAISO, IN, 463832571Browse IN providers · Browse ZIP 46383
- Phone
- 2194649681
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in VALPARAISO, IN
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY SCOTT MACDONALD | DDS | 1730299595 |
| DR. LARRY GEORGE BAMESBERGER | DDS | 1023128899 |
| DR. ROBERT FLEMING SHANKLAND | DDS | 1265501092 |
| MR. MICHAEL JOHN UZELAC | DDS | 1124187398 |
| DR. ALAN EDWARD CORNS | DDS | 1023143450 |
| MR. WILLIAM CRAIG AMOS | — | 1114045242 |
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.