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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457885873

Brian Hart, DDS is a Student in an Organized Health Care Education/Training Program in Portage, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

225 Gunderson Dr
Portage, WI 53901-3430
Phone: (608) 697-2484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457885873
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESApril 12, 2017
Mailing address225 Gunderson Dr, Portage, WI 53901-3430

Other providers in Portage