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BRADLEY WISOWATY
NPI 1306229562
Dentist in Valparaiso, IN

Active since July 07, 2015
809 WALL ST STE A, VALPARAISO, IN 46383(219) 464-9681 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Wisowaty NPPES

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

BRADLEY WISOWATY (NPI 1306229562) is an individual dentist in Valparaiso, Indiana, licensed in Indiana (12012301A) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1306229562
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRADLEY WISOWATY
Location Address809 WALL ST STE AValparaiso, IN 46383-2571
Mailing Address809 Wall St Ste AValparaiso, IN 46383-2571
Phone(219) 464-9681
Sole ProprietorYes
Enumeration DateJuly 7, 2015
Last NPPES UpdateNovember 27, 2018
✔ NPI 1306229562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12012301A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12012301A (IN)
809 WALL ST STE A, Valparaiso, IN 46383
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana, Humana.Insurance ›

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 Bradley Wisowaty's NPI number?

The NPI number for Bradley Wisowaty is 1306229562. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Bradley Wisowaty located?

Bradley Wisowaty practices at 809 Wall St Ste A, Valparaiso, IN 46383. The listed phone number is (219) 464-9681.

What is Bradley Wisowaty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Bradley Wisowaty accept?

Health plans from Delta Dental of Indiana and Humana list Bradley Wisowaty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Wisowaty was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.