MR. DIXON J WISE D.M.D.
NPI 1265719959
Dentist in Laurel, MS

Q: What is Dixon Wise's NPI number?

The NPI number for Dixon Wise is 1265719959. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Q: What is Dixon Wise's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Dixon Wise was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2011PECOS Enrolled

117 S 11TH AVE, LAUREL, MS 39440(601) 425-3033(601) 422-0431 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Dixon J Wise D.m.d. NPPES

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

MR. DIXON J WISE D.M.D. (NPI 1265719959) is an individual dentist in Laurel, Mississippi, licensed in Mississippi (10449) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265719959

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. DIXON J WISECredential: D.M.D.

Location Address117 S 11TH AVELaurel, MS 39440-4312

Mailing AddressPo Box 4361Laurel, MS 39441-4361 · (601) 425-3033 · Fax (601) 422-0431

Phone(601) 425-3033

Fax(601) 422-0431

Sole ProprietorNo

Enumeration DateNovember 8, 2011

Last NPPES UpdateFebruary 8, 2017

✔ NPI 1265719959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 10449

Definition

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.

117 S 11TH AVE, Laurel, MS 39440

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dixon J Wise D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dixon Wise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Center, Inc.

Same address

Primary Care

117 S 11TH AVE
Laurel, MS 39440

Reassigned Medicare billing, Mississippi enrollment
20 clinicians in this Medicare group

NPI 1477919603 (601) 425-3033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELISA RENE HILLMAN F.N.P.

Nurse Practitioner (Family)