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Contact Information

DAVID P WISE, MD, DDS
415 MORRIS ST STE 309
CHARLESTON, WV25301-1853
 Phone: 304-388-3290
 Fax: 304-388-3186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for DAVID P WISE · (Male)

NPI # 1154385185
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 04/14/2006
Last updated 06/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 18520
  • WV License # 3328
  • WV Medicaid 0047377-001
  • WV Medicaid 0047377000
  • Other 850000198 RAILROAD MEDICARE
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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