NPI 1063592160

Jeffrey Herbert Wiswall, DDSMS

Practitioner Endodontics Rapid City, SD

Practice location

Address: 2525 W Main St STE 307, Rapid City, SD 57702-2443
Phone: (605) 716-3546

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence M967 (SD)

Other Dentist providers in South Dakota →

Registry record

NPI: 1063592160
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 3 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.