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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528588167

Dr. Ryan Wisdom, DDS is a Student in an Organized Health Care Education/Training Program in Middletown, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
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

75 Dolson Ave
Middletown, NY 10940-6501
Phone: (845) 476-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 155 Main St Ste 101, Brewster, NY 10509-1521 — (845) 279-6999
  • 5 Grace Church St, Port Chester, NY 10573-4911 — (914) 937-8899

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 059915 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528588167
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 25, 2017
Last updated in NPPESDecember 6, 2018
Mailing address75 Dolson Ave, Middletown, NY 10940-6501

Other providers in Middletown