DR. ANDREW THOMAS WISWALL (NPI# 1255656807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255656807 |
| Entity Type | Individual |
| Full Name | DR. ANDREW THOMAS WISWALL |
| Credential | D.D.S |
| Practice Address |
2333 W 57th St Suite 103 Sioux Falls SD 57108-5053 |
| Practice Telephone | 6122087458 |
| Mailing Telephone | 6122087458 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D0827 | SD | Dental Providers |
| Street Address |
2333 W 57TH ST SUITE 103 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-5053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467557934 | Justin H Wittmayer | Physical Therapist | 2333 W 57th St, Suite 105, Sioux Falls, SD 57108-5053 | 2006-09-13 |
| 1790182822 | Wiswall Endodontics PC | Clinic/Center | 2333 W 57th St, Ste 103, Sioux Falls, SD 57108-5053 | 2014-12-04 |
| 1659703312 | Pharmacy Specialties, Inc | Pharmacy | 2333 W 57th St, Sioux Falls, SD 57108-5053 | 2013-08-05 |
| 1043475189 | Andrew Jon Gillen | Pharmacist | 2333 W 57th St, Ste 107, Sioux Falls, SD 57108-5053 | 2008-07-28 |
| 1114000908 | Kristin M Lohnes | Physical Therapist | 2333 W 57th St, Ste 103, Sioux Falls, SD 57108-5054 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366596686 | Michael D. Homer | Dentist | 3500 S Kiwanis Ave, Suite 100, Sioux Falls, SD 57105-8119 | 2007-01-23 |
| 1841369816 | Steven George Dietrich | Dentist | 3500 S Kiwanis Avenue, Suite 100, Sioux Falls, SD 57105 | 2006-11-06 |
| 1356421168 | Marshall Thomas Lavin | Dentist | 1710 S Southeastern Ave, Sioux Falls, SD 57103-3381 | 2006-10-16 |
| 1023089596 | Anne Elizabeth Wiseman | Dentist | 5110 W 26th St, Sioux Falls, SD 57106-3520 | 2006-01-31 |
| 1972101277 | Wiseman Endodontics LLC | Dentist | 5110 W 26th St, Sioux Falls, SD 57106-3520 | 2020-10-09 |
| 1013139393 | Michael D. Homer D.m.d., P.C. | Dentist | 3500 S Kiwanis Ave, Suite 100, Sioux Falls, SD 57105-8119 | 2007-05-03 |
| 1215155734 | Richard Dwight Allen | Dentist | 1704 S Cleveland Ave, Suite #6, Sioux Falls, SD 57103-3902 | 2007-04-22 |
| 1205962594 | Richard D. Allen, D.d.s., P.C. | Dentist | 1704 S Cleveland Ave, Suite 6, Sioux Falls, SD 57103-3902 | 2007-02-23 |
| 1013042027 | Marshall T. Lavin, Dds, PC | Dentist | 1710 S Southeastern Ave, Suite 100, Sioux Falls, SD 57103-3381 | 2007-02-22 |
| 1710059605 | Mark Michael Bierma | Dentist | 5000 S Broadband Ln, Suite 126, Sioux Falls, SD 57108-2260 | 2006-11-15 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
Please comment or provide details below to improve the information on DR. ANDREW THOMAS WISWALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.