Active NPI
F. Herbert Wiswall, D.D.S., P.C.
- General Practice Dentistry
- Watertown, SD
National Provider Identifier
1205959665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- M368
- Legal business name
- F. HERBERT WISWALL, D.D.S., P.C.
- Practice address
- 600 4TH St NE Ste 201
Watertown, SD 57201-1898 - Phone
- (605) 886-8096
- Fax
- (605) 886-1979
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. F. Herbert Wiswall, D.D.S.
- Title
- Owner
- Phone
- (605) 886-8096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | M368 | SD | Primary |
Addresses
Primary practice location
600 4TH St NE Ste 201
Watertown, SD 57201-1898
Mailing address
600 4TH St NE Ste 201
Watertown, SD 57201-1898
Phone (605) 886-8096
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205959665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 4TH ST NE STE 201",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011898",
"telephone_number": "605-886-8096",
"fax_number": "605-886-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 4TH ST NE STE 201",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011898",
"telephone_number": "605-886-8096",
"fax_number": "605-886-1979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F. HERBERT WISWALL, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WISWALL",
"authorized_official_first_name": "F. HERBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-886-8096",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "M368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.