MEDICARE: DR. ENRIQUE GABRIEL WISMANN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6905	AZ

General Provider Information

NPI Number	:	1710048855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ENRIQUE GABRIEL WISMANN DMD

Provider Business Mailing Address
First Line	:	7600 N 15TH ST STE 170
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4305
Country	:	US
Telephone Number	:	602-997-0911
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 N 15TH ST STE 170
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4305
Country	:	US
Telephone Number	:	602-997-0911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	04/09/2008

Similar Medicare Providers

1609722800 — PATIENT HANDS SENIOR LIVING, LLC
Practice Location Address:

7600 N 15TH ST STE 150
PHOENIX, AZ
85020-4305

Practice Phone: 317-437-4471
Practice Fax: 317-844-7991

1770501496 — DR. GARY BERNARD D.D.S.
Practice Location Address:

7600 N 15TH ST STE 170
PHOENIX, AZ
85020-4305

Practice Phone: 602-870-1238
Practice Fax: 602-997-4951

1548284094 — ARIZONA DENTAL SPECIALISTS
Practice Location Address:

7600 N 15TH ST STE 170
PHOENIX, AZ
85020-4305

Practice Phone: 602-870-1238
Practice Fax: 602-997-4951

1831379353 — LESLIE DAUGHERTY LMFT
Practice Location Address:

7600 N 15TH ST STE 150
PHOENIX, AZ
85020-4305

Practice Phone: 480-463-4015
Practice Fax:

1679014476 — CAMILLE MERCEDES MCCORMICK LPC
Practice Location Address:

7600 N 15TH ST STE 150
PHOENIX, AZ
85020-4305

Practice Phone: 480-256-8240
Practice Fax: 480-428-8817

1447785936 — DR. BRIANNA ALDRICH PSY.D.
Practice Location Address:

7600 N 15TH ST STE 150
PHOENIX, AZ
85020-4305

Practice Phone: 602-334-1353
Practice Fax:

Directions to “ DR. ENRIQUE GABRIEL WISMANN DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.