Larry Earl Wise, DMD
Dentist · Vandergrift, PA
Practice location
120 Farragut AvenueVandergrift, PA 15690-0365
- Phone
- (724) 568-2606
- Fax
- (724) 568-2606
NPI record
- NPI
- 1093893042
- Entity type
- Individual (Type 1)
- Enumeration date
- November 1, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DS020128L | PA |
Mailing address
PO Box 365Vandergrift, PA 15690-0365
- Phone
- (724) 568-2606
- Fax
- (724) 568-2606
About Dr. Wise
Larry Earl Wise, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 120 Farragut Avenue, Vandergrift, PA 15690-0365. The NPI number 1093893042 was assigned on November 1, 2006 and the record was last updated on July 8, 2007.
Dr. Wise lists a license in the registry: #DS020128L (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry Earl Wise, DMD?
The NPI number is 1093893042.
What is the phone number of Dr. Wise?
The phone number listed for the practice location is (724) 568-2606.
Where is Dr. Wise located?
120 Farragut Avenue, Vandergrift, PA 15690-0365.
What is the taxonomy code for Dr. Wise?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Vandergrift
- Charles W. Yakulis, DMD181 Washington Avenue
- David F. Ranieri, DDS613 Hawthorne St.