DR. JOHN DAVID WISE DMD NPI 1548499635

NPI Information

NPI: 1548499635
Provider Name: DR. JOHN DAVID WISE, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
B 2817 REILLY RD
FORT BRAGG, NC
ZIP 28310
Phone: (910) 643-2196
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DR. John David Wise, DMD is a general practice dentist in Fort Bragg, NC. The provider is 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. DR. John David Wise, DMD NPI is 1548499635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

B 2817 REILLY RD
FORT BRAGG, NC
ZIP 28310-302
Phone: (910) 643-2196

The enumeration date for this NPI number is 7/9/2009 and was last updated on 6/24/2013.

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	122300000X	Dentist		4601	SOUTH CAROLINA	No
2	1223G0001X	Dentist	General Practice	4601	SOUTH CAROLINA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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