Wise, Roger J
Wise, Roger J is an individual health care provider with primary practice located at 90 Humphrey St , Swampscott MA 01907-2542. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wise, Roger J can be contacted via phone (781) 596-2220.Contact Information
Primary practice address
90 Humphrey St
Swampscott MA 01907-2542
Phone: (781) 596-2220
Fax: (781) 598-8050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 11662 | Massachusetts |
Profile Details
| NPI number | 1982816500 |
|---|---|
| LBN Legal business name | Wise, Roger J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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