Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Wisowaty

Individual provider General Practice Dentistry · NPI 1306229562

Bradley Wisowaty is a General Practice Dentistry in Valparaiso, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

809 Wall St Ste A
Valparaiso, IN 46383-2571
Phone: (219) 464-9681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12012301A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12012301A (IN)

Record details

NPI number1306229562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 7, 2015
Last updated in NPPESNovember 27, 2018
Mailing address809 Wall St Ste A, Valparaiso, IN 46383-2571

Other providers in Valparaiso