Larry Earl Wise is a Dentist in Vandergrift, Pennsylvania. Larry Earl Wise practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry Earl Wise is 1093893042. The last update date is 2007-07-08.
Larry Earl Wise's current location address is Po Box 365, Vandergrift, Pennsylvania. You can contact this provider via phone number 7245682606 and fax number 7245682606. The mailing address for Larry Earl Wise is Po Box 365, Vandergrift, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Earl Wise |
|---|---|
| Address | Po Box 365, Vandergrift, Pennsylvania |
| Phone Number | 7245682606 |
| Fax Number | 7245682606 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093893042 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 365 |
|---|---|
| City | Vandergrift |
| State | Pennsylvania (PA) |
| Post Code | 156900365 |
| Phone Number | 7245682606 |
| Fax Number | 7245682606 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS020128L |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Larry Earl Wise by the Centers for Medicare & Medicaid Services?
The Larry Earl Wise has been assigned the NPI (National Provider Identifier) 1093893042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Larry Earl Wise is located?
The Larry Earl Wise is situated at the following address: Po Box 365, Vandergrift, PA, 156900365.
What is Larry Earl Wise's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Earl Wise is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Larry Earl Wise receive its 1093893042?
The Larry Earl Wise was issued its 1093893042 on 2006-11-01, which is the date when the organization was assigned this unique identifier.
When was the Larry Earl Wise's information last updated?
The Larry Earl Wise's information was last updated on 2007-07-08.