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PROF. SAM WISE DDS, MOM, MSC, MDS
NPI 1417416728
Dentist - Orofacial Pain in Rockwall, TX

Active since March 16, 2019
3045 N GOLIAD ST STE 105, ROCKWALL, TX 75087(972) 722-9100 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2023, May 24, 2022, Dec 20, 2021 and 4 more (7 updates tracked since 2019).

About Prof. Sam Wise Dds, Mom, Msc, Mds NPPES

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

PROF. SAM WISE DDS, MOM, MSC, MDS (NPI 1417416728) is an individual orofacial pain provider in Rockwall, Texas, licensed in Texas (35081) and active in the NPI registry since March 2019. He maintains a secondary practice location in Denton.

NPPES Registry Identity

NPI1417416728
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NamePROF. SAM WISECredential: DDS, MOM, MSC, MDS
Location Address3045 N GOLIAD ST STE 105Rockwall, TX 75087-7097
Mailing Address1256 Timber LnFrisco, TX 75036-1743 · (973) 747-6425
Phone(972) 722-9100
Sole ProprietorYes
Enumeration DateMarch 16, 2019
Last NPPES UpdateJanuary 9, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1417416728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in TX · 35081
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentistTaxonomy 122300000X · License 35081 (TX)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 60795714 (WA), 35081 (TX)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 35081 (TX)
3045 N GOLIAD ST STE 105, Rockwall, TX 75087
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Secondary Practice Location 1

Location 12700 W University Dr Ste 1060Denton, TX 76201-1607 · Phone (940) 382-5900

Other Identifiers 2

Other1487398285TX · Npi Ii
Other1518520170Npi Ii

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ELEGANCE DENTAL STUDIO PLLC
Dentist (General Practice)
3045 N GOLIAD ST STE 105
ROCKWALL, TX 75087
Rockwall County (972) 722-9100
LS DENTAL ROCKWALL PLLC
Dentist
3045 N GOLIAD ST STE 105
ROCKWALL, TX 75087
Rockwall County (972) 722-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Wise's NPI number?

The NPI number for Sam Wise is 1417416728. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Sam Wise located?

Sam Wise practices at 3045 N Goliad St Ste 105, Rockwall, TX 75087. The listed phone number is (972) 722-9100.

What is Sam Wise's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

What insurance does Sam Wise accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Sam Wise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Wise was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.