Brian J. Wackwitz, D.D.S.

Dentist · Madison, WI

Individual Active NPI

NPI number 1548489420

Practice location

4506 Regent St
Madison, WI 53705-4966
Phone
(608) 238-7112
Fax
(608) 238-1061

Open in Google Maps

NPI record

NPI
1548489420
Entity type
Individual (Type 1)
Enumeration date
April 25, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 5976-015 WI

About Dr. Wackwitz

Brian J. Wackwitz, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4506 Regent St, Madison, WI 53705-4966. The NPI number 1548489420 was assigned on April 25, 2007 and the record was last updated on July 8, 2007.

Dr. Wackwitz lists a license in the registry: #5976-015 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian J. Wackwitz, D.D.S.?

The NPI number is 1548489420.

What is the phone number of Dr. Wackwitz?

The phone number listed for the practice location is (608) 238-7112.

Where is Dr. Wackwitz located?

4506 Regent St, Madison, WI 53705-4966.

What is the taxonomy code for Dr. Wackwitz?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Madison

All Dentist providers in Madison, WI →