Individual provider · Type 1 NPI
Heather Hood Wise, D.M.D
Pediatric Dentistry · Campbellsville, KY
NPI number
1053439554
Active
Practice location
105 Medical Park Dr, Suite #1
Campbellsville, KY 42718-9622
Fax (270) 469-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 8254 (KY) |
| Pediatric Dentistry Primary | 1223P0221X | 8254 (KY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1053439554
Heather Hood Wise, D.M.D's National Provider Identifier is 1053439554, issued on Mar 26, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Campbellsville, KY. The record was last updated on Apr 29, 2008.