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

Justin Bradley Wise, DMD

Individual provider Dentist · NPI 1902417454

Justin Bradley Wise, DMD is a Dentist in Lawrenceburg, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1019 W Eads Pkwy
Lawrenceburg, IN 47025-1162
Phone: (812) 496-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12013460A (IN)

Record details

NPI number1902417454
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

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