| Brian T Wiswall DDS PC | |
|
518 N Sycamore Avenue Sioux Falls SD 57110-5737 | |
| (605) 373-0245 | |
| (605) 336-3261 |
| Full Name | Brian T Wiswall DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 518 N Sycamore Avenue, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Brian T Wiswall (PRESIDENT) |
| Authorized Official Contact | 6053730245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian T Wiswall DDS PC 518 N Sycamore Avenue Sioux Falls SD 57110-5737 Ph: (605) 373-0245 | Brian T Wiswall DDS PC 518 N Sycamore Avenue Sioux Falls SD 57110-5737 Ph: (605) 373-0245 |
| NPI Number | 1497842801 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497842801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M446 (South Dakota) | Primary |
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