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DR. EDWARD MCCRAY WISE DMD NPI 1639153430


NPI Information

NPI: 1639153430
Provider Name: DR. EDWARD MCCRAY WISE, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PA

PECOS Registration: Yes

Address:
112 SALUDA RIDGE CT STE 400
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 796-5791
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DR. Edward Mccray Wise, DMD is an oral and maxillofacial surgery dentist in West Columbia, SC with 19 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Edward Mccray Wise, DMD NPI is 1639153430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
Graduation Year:2005

The provider's business location address is:

112 SALUDA RIDGE CT STE 400
WEST COLUMBIA, SC
ZIP 29169-461
Phone: (803) 796-5791
Fax: (803) 796-6486

The NPI 1639153430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 3/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist4120SOUTH CAROLINANo
21223S0112XDentistOral and Maxillofacial Surgery4120SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.