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

Terra L Wiseley

Individual provider Dental Hygienist · NPI 1659036739

Terra L Wiseley is a Dental Hygienist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

122 Highland Dr
Jackson, MI 49201-9164
Phone: (517) 740-7422
Fax: (517) 315-4918
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2902011222 (MI)

Record details

NPI number1659036739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address3461 Manorway Rd, Osseo, MI 49266-9833

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