Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEATHER HOOD WISE, D.M.D
Active Sole ProprietorDR. HEATHER HOOD WISE, D.M.D is a Pediatric Dentistry healthcare provider located in CAMPBELLSVILLE, Kentucky. NPI 1053439554 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CAMPBELLSVILLE, KY
Registration Details
- NPI Number
- 1053439554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.429828332789 yrs)
- Last Updated
- Apr 29, 2008
- Licenses
-
8254 (KY)8254 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 MEDICAL PARK DRSUITE #1CAMPBELLSVILLE, KY, 427189622Browse KY providers · Browse ZIP 42718
- Phone
- 2704691403
- Fax
- 2704691405
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.