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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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