GLENN JOHN WISNIESKI DDS
NPI 1275658056
Dentist - General Practice in Walkerton, IN

Q: What is Glenn Wisnieski's NPI number?

The NPI number for Glenn Wisnieski is 1275658056. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Glenn Wisnieski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Wisnieski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2007

409 ROOSEVELT RD, WALKERTON, IN 46574(574) 586-3242(574) 686-3242 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glenn John Wisnieski Dds NPPES

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

GLENN JOHN WISNIESKI DDS (NPI 1275658056) is an individual general practice provider in Walkerton, Indiana, licensed in Indiana (12007003A) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1275658056

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGLENN JOHN WISNIESKICredential: DDS

Location Address409 ROOSEVELT RDWalkerton, IN 46574

Mailing Address409 Roosevelt RdWalkerton, IN 46574 · (574) 586-3242 · Fax (574) 686-3242

Phone(574) 586-3242

Fax(574) 686-3242

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275658056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12007003A

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

409 ROOSEVELT RD, Walkerton, IN 46574

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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 Glenn Wisnieski's NPI number?

The NPI number for Glenn Wisnieski is 1275658056. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Glenn Wisnieski located?

Glenn Wisnieski practices at 409 Roosevelt Rd, Walkerton, IN 46574. The listed phone number is (574) 586-3242.

What is Glenn Wisnieski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Glenn Wisnieski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.