Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY EARL WISE, DMD
ActiveDR. LARRY EARL WISE, DMD is a Dentist healthcare provider located in VANDERGRIFT, Pennsylvania. NPI 1093893042 is currently active in the NPPES registry. Verify at CMS.
Dentist · VANDERGRIFT, PA
Registration Details
- NPI Number
- 1093893042
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.786615887144 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS020128L (PA)
Practice Information
- Address
-
120 FARRAGUT AVENUEVANDERGRIFT, PA, 156900365Browse PA providers · Browse ZIP 15690
- Phone
- 7245682606
- Fax
- 7245682606
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in VANDERGRIFT, PA
| Name | Credential | NPI |
|---|---|---|
| DAVID F RANIERI | DDS | 1649380460 |
| DR. CHARLES W YAKULIS | DMD | 1538243969 |
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.