DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK RALPH WILLERT, D.D.S.

Active Sole Proprietor

DR. JACK RALPH WILLERT, D.D.S. is a General Dentistry healthcare provider located in OSHKOSH, Wisconsin. NPI 1811033343 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · OSHKOSH, WI

Registration Details

NPI Number
1811033343
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.538549779937 yrs)
Last Updated
Jul 8, 2007
License
5001833 (WI)
Sole Proprietor
Yes

Practice Information

Address
1835 W POINTE DR
OSHKOSH, WI, 549024174
Browse WI providers · Browse ZIP 54902
Phone
9202313140
Fax
9202315040
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in OSHKOSH, WI

Name Credential NPI
MR. TIMOTHY T RYAN D.D.S. 1356394621
DR. JEFFREY D. WOLK DDS 1922028257
THOMAS HALLQUIST DDS 1720001449
DR. ROBERT HEIL DDS 1528071990
DR. RONALD LEE DUDLEY D.D.S. 1639282767
DR. MICHELLE GRAF DDS 1205929197
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.