Prof. Sam Wise is a Rockwall, Texas based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Prof. Sam Wise is 35081 in Texas. His current practice location is 3045 N Goliad St Ste 105, Rockwall. Patients can reach him at 972-722-9100.
Prof. Sam Wise is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Prof. Sam Wise speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Prof. Sam Wise
Specialization:
Dentist
Gender:
Male
Credentials:
DDS, MOM, MSC, MDS
Accepts Medicare Assignment:
No
Practice Address:
3045 N Goliad St Ste 105, Rockwall, Texas, 75087-7097
Phone:
972-722-9100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417416728
NPI Enumeration Date:
16 Mar, 2019
NPI Last Update On:
09 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prof. Sam Wise are as mentioned below.
License Number
Specialization
State
Status
35081
Texas
Primary
35081
Dentistry
Texas
Secondary
60795714
General Practice Dentistry
Washington
Secondary
35081
General Practice Dentistry
Texas
Secondary
35081
Oral and Maxillofacial Surgery
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Prof. Sam Wise such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1487398285
Other
Texas
NPI II
1518520170
Other
NPI II
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1256 Timber Ln, Frisco, Texas
Zip:
75036-1743
Phone Number:
973-747-6425
Patients can reach Prof. Sam Wise at 3045 N Goliad St Ste 105, Rockwall, Texas or can call to book an appointment on 972-722-9100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.