DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RANDALL STEPHEN WISE, DDS

Active Sole Proprietor

DR. RANDALL STEPHEN WISE, DDS is a Dentist healthcare provider located in LAKEWOOD, Colorado. NPI 1548260854 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAKEWOOD, CO

Registration Details

NPI Number
1548260854
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2005 (20.872162822526 yrs)
Last Updated
Dec 16, 2014
License
HDL809 (CO)
Sole Proprietor
Yes

Practice Information

Address
7373 W JEFFERSON AVE
STE 305
LAKEWOOD, CO, 802352038
Browse CO providers · Browse ZIP 80235
Phone
3039851263
Fax
3039851659
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LAKEWOOD, CO

Name Credential NPI
DR. CURTIS DUANE JOHNSEN D.D.S. 1962400762
DR. GLENN JOHN PALUMBO D.D.S. 1689675670
DR. MARK STEVEN ANUNDSEN DDS 1649263385
DR. CESAR GREGORY MADLANG DDS 1265426100
DR. LAUREL C FULTON DDS 1386631950
DR. WILLAIM JOSEPH PONTARELLI JR. D.D.S. 1992789432
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.