CHARLES WISEMAN D.D.S.
NPI 1033536800
Dentist - General Practice in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since March 18, 2014

2509 PICO BLVD, SANTA MONICA, CA 90405(310) 392-8636 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Charles Wiseman D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES WISEMAN D.D.S. (NPI 1033536800) is an individual general practice provider in Santa Monica, California, licensed in California (26245) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1033536800

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCHARLES WISEMANCredential: D.D.S.

Location Address2509 PICO BLVDSanta Monica, CA 90405-1828

Mailing Address2509 Pico BlvdSanta Monica, CA 90405-1828 · (310) 392-8636

Phone(310) 392-8636

Sole ProprietorYes

Enumeration DateMarch 18, 2014

Last NPPES UpdateFebruary 18, 2021

NPPES CertifiedFebruary 18, 2021

✔ NPI 1033536800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 26245

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.

Also ListedDentistTaxonomy 122300000X · License 26245 (CA)

2509 PICO BLVD, Santa Monica, CA 90405

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