Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548489420 Individual Practitioner Male Practitioner

Dr. Brian J Wackwitz , DDS

Dentist • Madison, WI

Professional Overview & Biography Verified Profile Summary

Dr. Brian Wackwitz, DDS is a registered healthcare professional specializing in Dentist in Madison, WI. Practice services are available at 4506 REGENT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4506 Regent St

Madison, WI 537054966

Telephone 6082387112
Fax 6082381061
Associated Practice Facility / Clinic
🏢 Associated Dentists Facility NPI 1669691515

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
104 Specialists

Practicing in Madison, WI (1850 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 WI 5976-015

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33801200 (WI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1043691439

Doctor of Dental Surgery

Dr. Lance Miller , DDS

Clinic/Center - Dental

NPI 1083834576

Doctor of Dental Surgery

NPI 1508085481

Doctor of Dental Surgery

NPI 1629297593

Doctor of Dental Surgery

NPI 1912126871

Doctor of Dental Surgery

NPI 1972722866

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4506 REGENT ST, MADISON, WI 537054966 (Tel: 6082387112)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4506 REGENT ST, MADISON, WI 537054966 (Tel: 6082387112)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN WACKWITZ, D.D.S.

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

Dentist (License #5976-015 in WI)

🟢
Initial NPI Registration & Enumeration April 25, 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: 1548489420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4506 Regent St

Madison, WI 537054966

Phone: 6082387112

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.