Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD MCCRAY WISE JR., DMD
Active Sole ProprietorDR. EDWARD MCCRAY WISE JR., DMD is a Oral & Maxillofacial Surgery healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1639153430 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1639153430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2005 (20.670702464788 yrs)
- Last Updated
- Mar 26, 2018
- Licenses
-
4120 (SC)4120 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 SALUDA RIDGE CT STE 400WEST COLUMBIA, SC, 291693461Browse SC providers · Browse ZIP 29169
- Phone
- 8037965791
- Fax
- 8037966486
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MATTHEW PHAM | — | 1700263779 |
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.