DR. RYAN WISDOM DDS
NPI 1528588167
Dentist - General Practice in Middletown, NY

Active since June 25, 2017
75 DOLSON AVE, MIDDLETOWN, NY 10940(845) 476-3888 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2018, Mar 17, 2018, Jun 25, 2017 (3 updates tracked since 2017).

About Dr. Ryan Wisdom Dds NPPES

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

DR. RYAN WISDOM DDS (NPI 1528588167) is an individual general practice provider in Middletown, New York, licensed in New York (059915) and active in the NPI registry since June 2017. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528588167
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN WISDOMCredential: DDS
Location Address75 DOLSON AVEMiddletown, NY 10940-6501
Mailing Address75 Dolson AveMiddletown, NY 10940-6501
Sole ProprietorNo
Enumeration DateJune 25, 2017
Last NPPES UpdateDecember 6, 20183 updates tracked since enumeration
NPI 1528588167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 059915
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.
75 DOLSON AVE, Middletown, NY 10940

Secondary Practice Locations 2

Location 1155 Main St Ste 101Brewster, NY 10509-1521 · Phone (845) 279-6999
Location 25 Grace Church StPort Chester, NY 10573-4911 · Phone (914) 937-8899

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
75 DOLSON AVE
MIDDLETOWN, NY 10940
Dentist (General Practice)
75 DOLSON AVE
MIDDLETOWN, NY 10940

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 Ryan Wisdom's NPI number?

The NPI number for Ryan Wisdom is 1528588167. It was assigned to this individual provider in the NPPES registry on June 25, 2017.

Where is Ryan Wisdom located?

Ryan Wisdom practices at 75 Dolson Ave, Middletown, NY 10940. The listed phone number is (845) 476-3888.

What is Ryan Wisdom's specialty?

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

What insurance does Ryan Wisdom accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ryan Wisdom 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 Ryan Wisdom was last updated on December 6, 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.