Cory Alan Wirth, DDS

General Practice Dentistry · Brookfield, WI

Individual Active NPI

NPI number 1588396550

Practice location

125 N Executive Dr Ste 105
Brookfield, WI 53005-6035
Phone
(262) 444-0232

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NPI record

NPI
1588396550
Entity type
Individual (Type 1)
Enumeration date
June 28, 2022
Last updated
June 28, 2022
Certified
June 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6001013-15 WI

Mailing address

W225n2821 Foxwood Ct
Waukesha, WI 53186-8855
Phone
(563) 219-6650

About Dr. Wirth

Cory Alan Wirth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 125 N Executive Dr Ste 105, Brookfield, WI 53005-6035. The NPI number 1588396550 was assigned on June 28, 2022 and the record was last updated on June 28, 2022.

Dr. Wirth lists a license in the registry: #6001013-15 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cory Alan Wirth, DDS?

The NPI number is 1588396550.

What is the phone number of Dr. Wirth?

The phone number listed for the practice location is (262) 444-0232.

Where is Dr. Wirth located?

125 N Executive Dr Ste 105, Brookfield, WI 53005-6035.

What is the taxonomy code for Dr. Wirth?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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