IndividualActive
Heather Wise, D.M.D
NPI 1053439554 · Pediatric Dentistry · Campbellsville, KY
Heather Wise, D.M.D is a Pediatric Dentistry provider in Campbellsville, KY (NPI 1053439554).
Provider details
- NPI number
- 1053439554
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8254 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Medical Park Dr
Suite #1
Campbellsville, KY 42718-9622
Phone: (270) 469-1403
Fax: (270) 469-1405
Approximate (ZIP-level) locationGet directions
Mailing address
105 Medical Park Dr
Campbellsville, KY 42718-9622
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2008-04-29
Frequently asked questions
- What is Heather Wise's NPI number?
- Heather Wise's National Provider Identifier (NPI) is 1053439554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Wise's specialty?
- Heather Wise is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Heather Wise located?
- Heather Wise's practice location on file with NPPES is 105 Medical Park Dr, Campbellsville, KY 42718-9622.
- What is Heather Wise's phone number?
- The practice phone number listed in the NPPES registry for Heather Wise is (270) 469-1403.
- Is Heather Wise's NPI active?
- Yes — Heather Wise's NPI (1053439554) is active in the NPPES registry as of the last update on 2008-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.