NPI 1053439554

Heather Hood Wise, DMD

Practitioner Pediatric Dentistry Campbellsville, KY

Practice location

Address: 105 Medical Park Dr Suite #1, Campbellsville, KY 42718-9622
Phone: (270) 469-1403
Fax: (270) 469-1405

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 8254 (KY)

Other Dentist providers in Kentucky →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 8254 (KY)

Registry record

NPI: 1053439554
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2007
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.