Edward Mccray Wise in West Columbia - Oral And Maxillofacial Surgery

Edward Mccray Wise - NPI 1639153430

Edward Mccray Wise is a Oral And Maxillofacial Surgery in West Columbia, South Carolina. Edward Mccray Wise practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Edward Mccray Wise is 1639153430. The last update date is 2018-03-26.

Edward Mccray Wise's current location address is 112 Saluda Ridge Ct Ste 400, West Columbia, South Carolina. You can contact this provider via phone number 8037965791 and fax number 8037966486. The mailing address for Edward Mccray Wise is 112 Saluda Ridge Ct Ste 400, West Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Mccray Wise
Address 112 Saluda Ridge Ct Ste 400, West Columbia, South Carolina
Phone Number 8037965791
Fax Number 8037966486
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1639153430
Provider Enumeration Date 2005-12-05
Last Updated Date 2018-03-26

Provider Mailing Address Detail

Address 112 Saluda Ridge Ct Ste 400
City West Columbia
State South Carolina (SC)
Post Code 291693461
Phone Number 8037965791
Fax Number 8037966486

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 4120
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Edward Mccray Wise

What is the unique 10-digit identifier code issued to Edward Mccray Wise by the Centers for Medicare & Medicaid Services?

The Edward Mccray Wise has been assigned the NPI (National Provider Identifier) 1639153430 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Edward Mccray Wise is geographically located?

The Edward Mccray Wise is physically situated at the following location: 112 Saluda Ridge Ct Ste 400, West Columbia, SC, 291693461.

What is the Edward Mccray Wise's specialty and taxonomy code?

The Edward Mccray Wise's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did the Edward Mccray Wise receive its 1639153430 assignment from the Centers for Medicare & Medicaid Services?

The Edward Mccray Wise was assigned its 1639153430 by the Centers for Medicare & Medicaid Services on 2005-12-05.

When was the information pertaining to Edward Mccray Wise most recently updated or revised?

The details related to Edward Mccray Wise, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-26.

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