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

Dr. Brian J Wackwitz, DDS

Individual provider Dentist · NPI 1548489420

Dr. Brian J Wackwitz, DDS is a Dentist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

4506 Regent St
Madison, WI 53705-4966
Phone: (608) 238-7112
Fax: (608) 238-1061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5976-015 (WI)

Record details

NPI number1548489420
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4506 Regent St, Madison, WI 53705-4966

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