Individual provider · Type 1 NPI

Roberta Ellen Wisun, DDS

General Practice Dentistry · Great Lakes, IL

NPI number 1689651333 Active

Practice location

3001 6th St
Great Lakes, IL 60088-2833

Mailing address

1251 N Maidstone Dr
Vernon Hills, IL 60061-1087

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1689651333

Roberta Ellen Wisun, DDS's National Provider Identifier is 1689651333, issued on Dec 23, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 8, 2007.