Whalio Doctors

NPI 1154385185

David Paul Wise, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Charleston, WV

Practice location

Address
415 Morris St STE 309, Charleston, WV 25301-1853
Phone
(304) 388-3290
Fax
(304) 388-3186
Mailing address
415 Morris St Suite 309, Charleston, WV 25301-1953

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 18520 (WV)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 3328 (WV)

Registry record

NPI
1154385185
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Apr 2006
Record last updated
20 Jun 2023

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.