Individual provider · Type 1 NPI

Russell Conwell Wismer, DDS

General Practice Dentistry · Shawnee, KS

NPI number 1073685152 Active

About NPI 1073685152

Russell Conwell Wismer, DDS's National Provider Identifier is 1073685152, issued on Nov 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shawnee, KS. The record was last updated on Jul 8, 2007.