Larry A. Wise, D.D.S.

General Practice Dentistry · Kenner, LA

Individual Active NPI

NPI number 1124111935

Practice location

909 W Esplanade Ave
Suite 101
Kenner, LA 70065-2700
Phone
(504) 464-0202
Fax
(504) 464-0264

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NPI record

NPI
1124111935
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2777 LA

About Dr. Wise

Larry A. Wise, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 909 W Esplanade Ave, Suite 101, Kenner, LA 70065-2700. The NPI number 1124111935 was assigned on October 2, 2006 and the record was last updated on July 8, 2007.

Dr. Wise lists a license in the registry: #2777 (LA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry A. Wise, D.D.S.?

The NPI number is 1124111935.

What is the phone number of Dr. Wise?

The phone number listed for the practice location is (504) 464-0202.

Where is Dr. Wise located?

909 W Esplanade Ave, Suite 101, Kenner, LA 70065-2700.

What is the taxonomy code for Dr. Wise?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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