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Brad Wisowaty DDS LLC — NPI 1609565910, Valparaiso, IN | NPI Central

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NPI 1609565910

OrganizationActive

Brad Wisowaty DDS LLC

NPI 1609565910 · Dental Clinic/Center · Valparaiso, IN

Provider details

NPI number: 1609565910
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Brad Wisowaty, Member(708) 945-5405

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

1302 Vale Park Rd

Valparaiso, IN 46383-2722

Phone: (219) 462-0780

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

1302 Vale Park Rd

Valparaiso, IN 46383-2722

Other names (DBA / former)

Doing business as: Modern Dentistry

Additional practice locations (1)

809 Wall St Ste a
Valparaiso, IN 46383-2571
Phone: (219) 464-9681

Registry dates

Enumerated: 2023-05-03
Last updated: 2023-05-03
Certified: 2023-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.