Sam Wise, DDS, MOM, MSC, MDS
NPI 1417416728 · Orofacial Pain Dentistry · Rockwall, TX
Sam Wise, DDS, MOM, MSC, MDS is a Orofacial Pain Dentistry provider in Rockwall, TX (NPI 1417416728).
Provider details
- NPI number
- 1417416728
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- DDS, MOM, MSC, MDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35081 (TX)
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-16
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.