DR. EDWARD MCCRAY WISE DMD NPI 1639153430

NPI Information

  • NPI: 1639153430
  • Provider Name: DR. EDWARD MCCRAY WISE, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 112 SALUDA RIDGE CT STE 400
    WEST COLUMBIA, SC
    ZIP 29169
  • Phone: (803) 796-5791

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NPI Details

DR. Edward Mccray Wise, DMD is an oral and maxillofacial surgery dentist in West Columbia, SC. The provider is an oral and maxillofacial surgery dentist specialized in 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.

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).

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, 15-29 minutes (HCPCS:99202)
  • Removal of growth of mouth with simple repair (HCPCS:40812)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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