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Bradley Wisowaty
Dentist in Valparaiso, Indiana
NPI 1306229562

Bradley Wisowaty is a Dentist based in Valparaiso, IN. Bradley Wisowaty practices in Valparaiso, IN. The NPI Number for Bradley Wisowaty is 1306229562 and holds a License No. 12012301A (Indiana).

The current practice location address for Bradley Wisowaty is 809 Wall St Ste A, Valparaiso, IN and can be reached out via phone at 219-464-9681.

Location: 809 Wall St Ste A, Valparaiso, IN, 46383-2571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306229562
Provider Name
Bradley Wisowaty
Credential
Provider Entity Type
Individual
Gender
Male
Address
809 Wall St Ste A, Valparaiso, IN, 46383-2571
Phone Number
219-464-9681
Fax Number
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
809 Wall St Ste A
City
Valparaiso
State
Indiana
Zip
46383-2571
Phone Number
219-464-9681
Fax Number
person
Provider Business Mailing Address Details
Address
809 Wall St Ste A
City
Valparaiso
State
Indiana
Zip
46383-2571
Phone Number
219-464-9681
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
12012301A (Indiana)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12012301A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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