LOWER COLUMBIA ORAL HEALTH
NPI 1518520170
Dentist - Oral and Maxillofacial Surgery in Longview, WA

NPI Status: Active since April 19, 2019

Contact Information

1538 11TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-3400
Fax: (360) 578-1277

Get Directions Write a Review

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About LOWER COLUMBIA ORAL HEALTH

This page provides the complete NPI Profile along with additional information for Lower Columbia Oral Health, a provider established in Longview, Washington operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1518520170 assigned on April 2019. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Lower Columbia Oral Health. The authorized official of this NPI record is Dr. Sam Wise Dds, Mom, Msc, Mds. (Owner)

NPI
1518520170
Provider Legal Name
GERMAN WISE DENTAL LLC
Other Organization Name
LOWER COLUMBIA ORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1538 11TH AVE LONGVIEW, WA 98632
Location Phone
(360) 636-3400
Location Fax
(360) 578-1277
Mailing Address
1538 11TH AVE LONGVIEW, WA 98632
Mailing Phone
(360) 636-3400
Mailing Fax
(360) 578-1277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2019
Last Update Date
12-16-2021
Code Navigator

A dentist like Lower Columbia Oral Health is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAM WISE DDS, MOM, MSC, MDS.

Authorized Official Title
OWNER
Authorized Official Phone
(360) 636-3400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1417416728OTHER (01)WADENTAL
DE60795714OTHER (01)WADENTAL

Reviews for LOWER COLUMBIA ORAL HEALTH

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518520170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25281020114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 0 + 2 + 0 + 1 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518520170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DR. NADEREH GHANEE DMD

Dentist

(General Practice)

1538 11TH AVE
LONGVIEW, WA
ZIP 98632

(360) 636-3400

LOWER COLUMBIA ORAL HEALTH

Dentist

(General Practice)

1538 11TH AVE
LONGVIEW, WA
ZIP 98632

(360) 636-3400

GRACE FAMILY DENTAL

Dentist

1538 11TH AVE
LONGVIEW, WA
ZIP 98632

(323) 804-1324

DR AZIZI PLLC

Dentist

1538 11TH AVE
LONGVIEW, WA
ZIP 98632

(323) 804-1324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518520170, enumerated as an "organization" on April 19, 2019.

The provider is located at 1538 11TH AVE LONGVIEW, WA 98632 and the phone number is (360) 636-3400.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.