Provider Demographics
NPI:1346137452
Name:WISNIEWSKI DENTISTRY LLC
Entity type:Organization
Organization Name:WISNIEWSKI DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WISNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-924-4421
Mailing Address - Street 1:46 VREELAND DR STE 3
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2638
Mailing Address - Country:US
Mailing Address - Phone:609-924-4421
Mailing Address - Fax:609-921-3287
Practice Address - Street 1:46 VREELAND DR STE 3
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2638
Practice Address - Country:US
Practice Address - Phone:609-924-4421
Practice Address - Fax:609-921-3287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty