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Prof. Sam Wise, DDS,MOM,MSC,MDS
Orofacial Pain Dentist in Rockwall, Texas
NPI 1417416728

Sam Wise is a Orofacial Pain Dentist based in Frisco, TX and is specialized in Orofacial Pain. Sam Wise practices in Rockwall, TX and has the professional credentials of DDS,MOM,MSC,MDS. The NPI Number for Sam Wise is 1417416728 and holds a License No. 35081 (Texas).

The current practice location address for Sam Wise is 3045 N Goliad St Ste 105, Rockwall, TX and can be reached out via phone at 972-722-9100. You can also correspond with Sam Wise through the mailing address at 1256 TIMBER LN, FRISCO, TX - 75036-1743 (mailing address contact number: 973-747-6425).

Location: 3045 N Goliad St Ste 105, Rockwall, TX, 75036-1743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417416728
Provider Name
Sam Wise
Credential
DDS,MOM,MSC,MDS
Provider Entity Type
Individual
Gender
Male
Address
3045 N Goliad St Ste 105, Rockwall, TX, 75036-1743
Phone Number
972-722-9100
Fax Number
Provider Enumeration Date
03/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487398285 01 TX NPI II
1518520170 01 NPI II
institution
Provider Business Practice Location Address Details
Address
3045 N Goliad St Ste 105
City
Rockwall
State
Texas
Zip
75087-7097
Phone Number
972-722-9100
Fax Number
person
Provider Business Mailing Address Details
Address
3045 N Goliad St Ste 105
City
Rockwall
State
Texas
Zip
75087-7097
Phone Number
972-722-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
35081 (Texas)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
35081 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
60795714 (Washington)
Definition
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.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
35081 (Texas)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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