| Jeffrey Wiswall DDS MS PC | |
|
2525 W Main St Ste 307 Rapid City SD 57702-2443 | |
| (605) 716-3546 | |
| Not Available |
| Full Name | Jeffrey Wiswall DDS MS PC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2525 W Main St Ste 307, Rapid City, South Dakota |
| Authorized Official Name and Position | Jeffrey Wiswall (OWNER/OPERATOR) |
| Authorized Official Contact | 6057163546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Wiswall DDS MS PC 2525 W Main St Ste 307 Rapid City SD 57702-2443 | Jeffrey Wiswall DDS MS PC 2525 W Main St Ste 307 Rapid City SD 57702-2443 Ph: (605) 716-3546 |
| NPI Number | 1073985982 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073985982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (South Dakota) | Primary |
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