PROF. SAM WISE (DDS, MOM, MSC, MDS) – Orofacial Pain Dentistry, NPI 1417416728

PROF. SAM WISE (DDS, MOM, MSC, MDS) is a healthcare provider. based in Longview, Washington. specializing in Orofacial Pain Dentistry. They hold the professional credentials DDS, MOM, MSC, MDS. They hold a License No. 35081 (TX). The NPI Number for PROF. SAM WISE (DDS, MOM, MSC, MDS) is 1417416728

Main info

Male
Sole Proprietor
Name
PROF. SAM WISE (DDS, MOM, MSC, MDS)
NPI
1417416728
Phone
(360) 636-3400
Address
1538 11TH AVE LOWR COLUMBIA
Enumeration Date
16 March 2019
Last Update Date
9 January 2023

Contacts

Main Contact
professorwise.us
Secure Messaging
info@lcoh.net
Secure Messaging
sam@professorwise.us
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

Provider Addresses for PROF. SAM WISE (DDS, MOM, MSC, MDS)

  • 1538 11TH AVE LOWR COLUMBIA

    LONGVIEW, WA 98632

    Phone: (360) 636-3400

    Type: Location

  • 3045 N GOLIAD ST STE 105

    ROCKWALL, TX 750877097

    Phone: (972) 722-9100

    Type: Location

  • 2700 W University Dr Ste 1060

    Denton, TX 762011607

    Phone: (940) 382-5900

    Type: Location

  • 1256 TIMBER LN

    FRISCO, TX 750361743

    Phone: (973) 747-6425

    Type: Mailing

  • 151 RIDGE POINT PKWY STE 400

    KELLER, TX 762488801

    Phone: (817) 835-6955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: 3M Company ($340).

Total Amount

$393

General + Research + Ownership

Payments

3

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98632)

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Reviews

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Frequently asked questions

What is the standard ID for PROF. SAM WISE (DDS, MOM, MSC, MDS) in the U.S.?
In the U.S., PROF. SAM WISE (DDS, MOM, MSC, MDS) is identified by NPI 1417416728.
Is PROF. SAM WISE (DDS, MOM, MSC, MDS) currently accepting referrals based on NPI status?
Registry metadata lists PROF. SAM WISE (DDS, MOM, MSC, MDS) as active.
How should patients interpret PROF. SAM WISE (DDS, MOM, MSC, MDS)'s specialty?
The extract shows Orofacial Pain Dentistry for PROF. SAM WISE (DDS, MOM, MSC, MDS). Clinical services aligned with this taxonomy classification.
What geographic area is tied to PROF. SAM WISE (DDS, MOM, MSC, MDS)?
PROF. SAM WISE (DDS, MOM, MSC, MDS) is associated with Longview, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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