NPI Details
DR. David Paul Wise, MD, DDS is an oral maxillofacial surgery in Charleston, WV with 32 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. David Paul Wise, MD, DDS NPI is 1154385185. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1993
The provider's business location address is:
415 MORRIS ST STE 309
CHARLESTON, WV
ZIP 25301-853
Phone: (304) 388-3290
Fax: (304) 388-3186
The NPI 1154385185 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 4/14/2006 and was last updated on 6/20/2023.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 204E00000X | Oral & Maxillofacial Surgery | | 18520 | WEST VIRGINIA | Yes |
| 2 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | 3328 | WEST VIRGINIA | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0047377-001 | MEDICAID | WEST VIRGINIA | |
| 2 | 0047377000 | MEDICAID | WEST VIRGINIA | |
| 3 | 850000198 | OTHER | | RAILROAD MEDICARE |
