Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073708368 Individual Practitioner Male Practitioner

Dr. Michael James Wisnoski , DDS

Dentist - General Practice • Pearland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wisnoski, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pearland, TX. Practice services are available at 1819 BROADWAY ST STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1819 Broadway St Ste 105

Pearland, TX 775815671

Telephone 2816484000
Fax 2816484001
Associated Practice Facility / Clinic
🏢 Nooshei P.a. Facility NPI 1669671582

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pearland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Pearland, TX (10570 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 TX 19057

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2007

Registered at 1819 BROADWAY ST STE 105, PEARLAND, TX 775815671 (Tel: 2816484000)

📍
Updated Business Mailing Address September 10, 2007

Registered at 1819 BROADWAY ST STE 105, PEARLAND, TX 775815671 (Tel: 2816484000)

👤
Provider Name / Credentials Updated September 10, 2007

Recorded as MICHAEL WISNOSKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Dentist (License #19057 in TX)

🟢
Initial NPI Registration & Enumeration September 10, 2007

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: 1073708368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2007
Last Update: September 10, 2007
Sole Proprietor: No

Mailing Address

1819 Broadway St Ste 105

Pearland, TX 775815671

Phone: 2816484000

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.