Wise, David Paul

Wise, David Paul is an individual health care provider with primary practice located at 415 Morris St Ste 309 , Charleston WV 25301-1853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Wise, David Paul can be contacted via phone (304) 388-3290.

Contact Information

Primary practice address
415 Morris St Ste 309 Charleston WV 25301-1853
Phone: (304) 388-3290
Fax: (304) 388-3186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 18520 West Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3328 West Virginia

Profile Details

NPI number 1154385185
LBN Legal business name Wise, David Paul
Credentials MD, DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jun 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154385185 NPPES
West Virginia MEDICAID 0047377-001
West Virginia MEDICAID 0047377000
West Virginia Other 850000198

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