Individual provider · Type 1 NPI
John Michael Wise, DDS MS
Oral and Maxillofacial Surgery (Dentist) · Gaithersburg, MD
NPI number
1780765404
Active
Practice location
985 Russell Avenue
Gaithersburg, MD 20879
Fax (301) 926-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10885 (MD) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1780765404
John Michael Wise, DDS MS's National Provider Identifier is 1780765404, issued on Oct 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gaithersburg, MD. The record was last updated on Jul 8, 2007.