Roger J Wise is a Periodontics in Swampscott, Massachusetts. Roger J Wise practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Roger J Wise is 1982816500. The last update date is 2007-07-08.
Roger J Wise's current location address is 90 Humphrey St, Swampscott, Massachusetts. You can contact this provider via phone number 7815962220 and fax number 7815988050. The mailing address for Roger J Wise is 90 Humphrey St, Swampscott, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger J Wise |
|---|---|
| Address | 90 Humphrey St, Swampscott, Massachusetts |
| Phone Number | 7815962220 |
| Fax Number | 7815988050 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982816500 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 90 Humphrey St |
|---|---|
| City | Swampscott |
| State | Massachusetts (MA) |
| Post Code | 19072542 |
| Phone Number | 7815962220 |
| Fax Number | 7815988050 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 11662 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Roger J Wise's unique identification number?
The Roger J Wise has been assigned the NPI (National Provider Identifier) Number 1982816500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Roger J Wise is physically located?
The Roger J Wise is physically situated at the following address: 90 Humphrey St, Swampscott, MA, 19072542.
What is the Roger J Wise's specialty and taxonomy code?
The Roger J Wise's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982816500 to Roger J Wise?
The Centers for Medicare & Medicaid Services assigned the 1982816500 to Roger J Wise on 2007-05-04.
When was the information pertaining to Roger J Wise most recently updated or revised?
The details related to Roger J Wise, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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