BRAD WISOWATY DDS LLC
NPI 1609565910
Clinic/Center - Dental in Valparaiso, IN
About Brad Wisowaty Dds Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAD WISOWATY DDS LLC (NPI 1609565910), doing business as Modern Dentistry, is a healthcare organization registered as a dental in Valparaiso, Indiana and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Valparaiso and lists Brad Wisowaty, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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.
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 Brad Wisowaty Dds LLC's NPI number?
The NPI number for Brad Wisowaty Dds LLC is 1609565910. It was assigned to this organization in the NPPES registry on May 3, 2023. The provider is doing business as Modern Dentistry.
Where is Brad Wisowaty Dds LLC located?
Brad Wisowaty Dds LLC is located at 1302 Vale Park Rd, Valparaiso, IN 46383. The listed phone number is (219) 462-0780.
What is Brad Wisowaty Dds LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Brad Wisowaty Dds LLC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
