WISE DENTAL CARE (NPI# 1912398173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912398173 |
| Entity Type | Organization |
| Organization Name | WISE DENTAL CARE |
| Practice Address |
7373 W Jefferson Ave #305 Lakewood CO 80235-2038 |
| Mailing Address |
7373 W. Jefferson Ave #305 Lakewood CO 80235 |
| Practice Telephone | 3039851263 |
| Practice Fax Number | 3039851659 |
| Mailing Telephone | 3039851263 |
| Mailing Fax Number | 3039851659 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | DR. RANDALL S. WISE (PRESIDENT) |
| Authorized Official Telephone | 3039851263 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 809 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | WISE DENTAL CARE | 4966 Glenway Avenue, Unit #112, Cincinnati, OH 45238 |
| Colorado Business Entities | Wise Dental Care, PC | 7373 West Jefferson Ave., Ste 305, Lakewood, CO 80235 |
| Street Address |
7373 W JEFFERSON AVE #305 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80235-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146026 | Thomas K. Mayeda, M.d., PC | Internal Medicine | 7373 W Jefferson Ave, Ste 103, Lakewood, CO 80235-2038 | 2005-07-07 |
| 1083117493 | Wise Sleep and Wellness LLC | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235-2038 | 2018-03-12 |
| 1487194940 | Modern Audiology | Audiologist | 7373 W Jefferson Ave, Suite 301, Lakewood, CO 80235-2038 | 2017-03-03 |
| 1255870861 | Erin Corinne Barela | Dental Hygienist | 7373 W Jefferson Ave, 404, Lakewood, CO 80235-2038 | 2017-02-15 |
| 1568904977 | Zachary Zells | Audiologist | 7373 W Jefferson Ave, Ste 301, Lakewood, CO 80235-2021 | 2016-11-16 |
| 1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
| 1588032841 | Paul Lee | Acupuncturist | 7373 W Jefferson Ave, Lakewood, CO 80235-2038 | 2015-09-03 |
| 1659607471 | Ohollearn Chiropractic PC | Clinic/Center | 7373 W Jefferson Ave, 402, Lakewood, CO 80235-2038 | 2009-10-29 |
| 1609002922 | Rochelle Louise Dworet | Pediatrics | 7373 W Jefferson Ave, Ste 100, Lakewood, CO 80235-2038 | 2009-06-01 |
| 1144377300 | Scott M Green Md P C | Family Medicine | 7373 W Jefferson Ave, Suite 201, Lakewood, CO 80235-2038 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
| 1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
| 1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| 1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
| 1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
| 1346766466 | Jayden Brooke Cornejo | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2017-08-21 |
| 1972991842 | Erin Montgomery | Behavioral Analyst | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2014-12-31 |
| Find all providers in zip 80235 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025894 | Lakewood Dental Associates, LLC | Dentist | 838 River Ave Ste 1, Lakewood, NJ 08701-5279 | 2019-10-22 |
| 1851933287 | Jeri A. Logan | Dentist | 8064 W Jewell Ave Unit 100, Lakewood, CO 80232-6710 | 2019-10-17 |
| 1457838294 | Narges Lotfizadeh Dehkordi | Dentist | 5605 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3855 | 2018-07-24 |
| 1770069239 | Jeffrey A. Osborn | Dentist | 8520 Steilacoom Blvd Sw Ste 202, Lakewood, WA 98498-4773 | 2018-07-17 |
| 1790279743 | Andrew Montalvo | Dentist | 12375 W Auburn Dr, Lakewood, CO 80228-4747 | 2018-06-21 |
| 1508376906 | Green Gables Dental LLC | Dentist | 7586 W Jewell Ave # 2-303, Lakewood, CO 80232-6890 | 2017-10-11 |
| 1073964284 | Travis Jay Barr | Dentist | 3333 S Wadsworth Blvd Unit D305, Lakewood, CO 80227-5142 | 2016-06-29 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1831556117 | John Kim | Dentist | 10011 Bridgeport Way Sw, Ste 700, Lakewood, WA 98499-2332 | 2016-01-18 |
| 1811361751 | Simple Smiles, Pllc | Dentist | 225 S Sheridan Blvd Ste 114, Lakewood, CO 80226-2405 | 2015-11-16 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.