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

Dustin Bryant Wise, MD

Individual provider Pediatrics Physician · NPI 1811945769

Dustin Bryant Wise, MD is a Pediatrics Physician in Pleasant Grove, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1888 W 800 N
Pleasant Grove, UT 84062-4097
Phone: (801) 492-7851
Fax: (801) 492-7883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 52479661205 (UT)

Record details

NPI number1811945769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address1888 W 800 N, Pleasant Grove, UT 84062

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