Jeffrey Herbert Wiswall in Rapid City - Endodontics
Jeffrey Herbert Wiswall - NPI 1063592160
Jeffrey Herbert Wiswall is a Endodontics in Rapid City, South Dakota. Jeffrey Herbert Wiswall practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jeffrey Herbert Wiswall is 1063592160. The last update date is 2011-03-03.
Jeffrey Herbert Wiswall's current location address is 2525 W Main St Ste 307, Rapid City, South Dakota. You can contact this provider via phone number 6057163546. The mailing address for Jeffrey Herbert Wiswall is 2525 W Main St Ste 307, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Herbert Wiswall |
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Address | 2525 W Main St Ste 307, Rapid City, South Dakota |
Phone Number | 6057163546 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1063592160 |
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Provider Enumeration Date | 2006-10-16 |
Last Updated Date | 2011-03-03 |
Provider Mailing Address Detail
Address | 2525 W Main St Ste 307 |
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City | Rapid City |
State | South Dakota (SD) |
Post Code | 577022443 |
Phone Number | 6057163546 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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Taxonomy | 1223E0200X |
Licence No | M967 |
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the Jeffrey Herbert Wiswall's unique identification number?
The Jeffrey Herbert Wiswall has been assigned the NPI (National Provider Identifier) Number 1063592160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jeffrey Herbert Wiswall?
The Jeffrey Herbert Wiswall is physically situated at 2525 W Main St Ste 307, in the city of Rapid City, state of SD, with the postal code 577022443.
What is Jeffrey Herbert Wiswall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey Herbert Wiswall is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063592160 to Jeffrey Herbert Wiswall?
The Jeffrey Herbert Wiswall received its 1063592160 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the Jeffrey Herbert Wiswall's information last updated?
The Jeffrey Herbert Wiswall's information was last updated on 2011-03-03.
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