Wise, John David
Wise, John David is an individual health care provider with primary practice located at B 2817 Reilly Rd , Fort Bragg NC 28310-7302. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Wise, John David can be contacted via phone (910) 643-2196.Contact Information
Primary practice address
B 2817 Reilly Rd
Fort Bragg NC 28310-7302
Phone: (910) 643-2196
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4601 | South Carolina |
Dental Providers / Dentist | 122300000X | 4601 | South Carolina |
Profile Details
NPI number | 1548499635 |
---|---|
LBN Legal business name | Wise, John David |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2009 |
Last updated | Jun 24th, 2013 - about 11 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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