Active NPIIndividual provider

Ramy S Wisa, DDS

Dentist, General Practice in Brookfield, Connecticut

NPI Number1750158564
Practice location
246 Federal RD Ste B11, Brookfield, CT 06804-2651
Fax
—
Last updated
June 17, 2026

Ramy Shaker Wisa is a Dentist, General Practice based in Brookfield, CT. Ramy Shaker Wisa practices in Brookfield, CT and has the professional credentials of DDS. The NPI Number for Ramy Shaker Wisa is 1750158564 and holds a License No. 14808 (CT). The current practice location address for Ramy Shaker Wisa is 246 Federal RD Ste B11, Brookfield, CT 06804-2651 and can be reached out via phone at 203-790-0111.

Provider Profile Details

NPI Number
1750158564
Provider Name
Ramy Shaker Wisa
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
246 Federal RD Ste B11, Brookfield, CT 06804-2651
Phone Number
203-790-0111
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
December 11, 2023
Last Update Date
June 17, 2026
Certification Date
June 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
246 Federal RD Ste B11
Brookfield, CT 06804-2651
Zip
06804-2651
Phone Number
203-790-0111
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
246 Federal RD Ste B11
Brookfield, CT 06804-2651
City
Brookfield
State
CT
Zip
06804-2651
Phone Number
203-790-0111

License Information

License Number
14808
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ramy S Wisa, DDS?

The NPI number of Ramy S Wisa, DDS is 1750158564. It was assigned on December 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Ramy S Wisa, DDS?

Ramy S Wisa, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 14808.

Where does Ramy S Wisa, DDS practice?

The practice location is 246 Federal RD Ste B11, Brookfield, CT 06804-2651. The office can be reached at 203-790-0111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750158564 directly on the NPPES registry website.

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