Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip C Wisniewski, DDS, FAGD, PC

Individual provider General Practice Dentistry · NPI 1386788610

Dr. Philip C Wisniewski, DDS, FAGD, PC is a General Practice Dentistry in Holland, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
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

291 W Lakewood Blvd
Holland, MI 49424-1969
Phone: (616) 396-9583
Fax: (616) 396-8347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 16021 (MI)

Record details

NPI number1386788610
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , FAGD , PC
Sole proprietorYes
NPI enumeratedFebruary 19, 2007
Last updated in NPPESJuly 8, 2007

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