Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1972673697 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce W Wisner , DDS MS

Dentist • Wheaton, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Wisner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2006
NPI Deactivation Date February 02, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Wisner, DDS MS was a registered Dentist practicing in Wheaton, IL. Throughout an active medical career spanning 12 years, Dr. Wisner provided care at the practice location at 300 SOUTH WEST STREET until profile deactivation on 2018-02-02.

Practice Location & Contact Primary Location

Practice Address

300 South West Street

Wheaton, IL 60187

Telephone 6306653317
Fax 6306653979
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wheaton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Wheaton, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 19013028

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Laurence Golden , DDS MSD

Dentist - General Practice

NPI 1962588400

DDSMSD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 02, 2018

Record deactivated on February 02, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 300 SOUTH WEST STREET, WHEATON, IL 60187 (Tel: 6306653317)

📍
Updated Business Mailing Address July 08, 2007

Registered at 300 SOUTH WEST STREET, WHEATON, IL 60187 (Tel: 6306653317)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE WISNER, DDS MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19013028 in IL)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Bruce Wisner. Be the first to share your experience!

Sign in to leave a review for Dr. Bruce Wisner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972673697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 08, 2007
Deactivation Date: February 02, 2018

Mailing Address

300 South West Street

Wheaton, IL 60187

Phone: 6306653317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.