JEFFREY HERBERT WISWALL D.D.S., M.S.
NPI 1063592160
Dentist - Endodontics in Rapid City, SD

Active since October 16, 2006
2525 W MAIN ST STE 307, RAPID CITY, SD 57702(605) 716-3546 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Herbert Wiswall D.d.s., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY HERBERT WISWALL D.D.S., M.S. (NPI 1063592160) is an individual endodontics provider in Rapid City, South Dakota, licensed in South Dakota (M967) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063592160
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJEFFREY HERBERT WISWALLCredential: D.D.S., M.S.
Location Address2525 W MAIN ST STE 307Rapid City, SD 57702-2443
Mailing Address2525 W Main St Ste 307Rapid City, SD 57702-2443 · (605) 716-3546
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 3, 2011
NPI 1063592160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in SD · M967
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

2525 W MAIN ST STE 307, Rapid City, SD 57702

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
2525 W MAIN ST STE 307
RAPID CITY, SD 57702
Family Medicine
2525 W MAIN ST STE 307
RAPID CITY, SD 57702
Dentist (Endodontics)
2525 W MAIN ST STE 307
RAPID CITY, SD 57702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Wiswall's NPI number?

The NPI number for Jeffrey Wiswall is 1063592160. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jeffrey Wiswall located?

Jeffrey Wiswall practices at 2525 W Main St Ste 307, Rapid City, SD 57702. The listed phone number is (605) 716-3546.

What is Jeffrey Wiswall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Jeffrey Wiswall was last updated on March 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.