Search › Texas › 1223X2210X
Sam Wise, DDS, MOM, MSC, MDS
NPI 1417416728 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3045 N Goliad St Ste 105
Rockwall, TX 75087 - Phone
- (972) 722-9100
- Organisation at this address
- Lakeshore Dental Pllc
Ls Dental Rockwall Pllc
Elegance Dental Studio PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 2700 W University Dr Ste 1060, Denton, TX
Registry record
- Primary taxonomy
- 1223X2210X
1223X2210X
- Also registered as
- 122300000X
1223G0001X
1223G0001X
1223S0112X - Licence states on file
- TX, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas