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Deactivated NPI 1518917228 Deactivated / Inactive NPI Male Practitioner

Dr. Donald G Wisner , DDS

Dentist - General Practice • Flint, MI

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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. Donald Wisner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2006
NPI Deactivation Date May 28, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Donald Wisner, DDS was a registered Dentist - General Practice practicing in Flint, MI. Throughout an active medical career spanning 13 years, Dr. Wisner provided care at the practice location at 2222 S LINDEN RD until profile deactivation on 2019-05-28.

Practice Location & Contact Primary Location

Practice Address

2222 S Linden Rd
Suite B

Flint, MI 485325475

Telephone 8107336531
Fax 8107332390
Associated Practice Facility / Clinic
🏢 Mdo Imaging Associates Plc Facility NPI 1386684892

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
81 Specialists

Practicing in Flint, MI (4360 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901009023

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dr. Robert Yochim , MD

Radiology - Diagnostic Radiology

NPI 1043247109

Doctor of Medicine (M.D.)

Tonia Maxson , NP

Nurse Practitioner

NPI 1073902540

Nurse Practitioner

Johnisha Chapman , SLP

Speech-Language Pathologist

NPI 1083958656

Speech-Language Pathologist

Dr. Steven Taft , DDS

Dentist - General Practice

NPI 1144353541

Doctor of Dental Surgery

Dr. Khalid Latif , MD

Radiology - Diagnostic Radiology

NPI 1205871183

Doctor of Medicine (M.D.)

Dr. Leah Flynn , DPT

Physical Therapist

NPI 1467789479

Doctor of Physical Therapy

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 28, 2019

Record deactivated on May 28, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2222 S LINDEN RD, SUITE B, FLINT, MI 485325475 (Tel: 8107336531)

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Updated Business Mailing Address July 08, 2007

Registered at 9935 BIRCH RUN, BRIGHTON, MI 481148951 (Tel: 8104949046)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DONALD WISNER, D.D.S.

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

Dentist (License #2901009023 in MI)

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Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518917228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: July 08, 2007
Deactivation Date: May 28, 2019

Mailing Address

9935 Birch Run

Brighton, MI 481148951

Phone: 8104949046

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.