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DR. EDWARD MCCRAY WISE JR. DMD
NPI 1639153430
Dentist - Oral and Maxillofacial Surgery in West Columbia, SC

Active since December 05, 2005Opted out of Medicare · through Apr 11, 2027
112 SALUDA RIDGE CT STE 400, WEST COLUMBIA, SC 29169(803) 796-5791(803) 796-6486 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward Mccray Wise Jr. Dmd NPPES

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

DR. EDWARD MCCRAY WISE JR. DMD (NPI 1639153430) is an individual oral and maxillofacial surgery provider in West Columbia, South Carolina, licensed in South Carolina (4120) and active in the NPI registry since December 2005. He has opted out of Medicare through April 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639153430
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. EDWARD MCCRAY WISE JR.Credential: DMD
Location Address112 SALUDA RIDGE CT STE 400West Columbia, SC 29169-3461
Mailing Address112 Saluda Ridge Ct Ste 400West Columbia, SC 29169-3461 · (803) 796-5791 · Fax (803) 796-6486
Phone(803) 796-5791
Fax(803) 796-6486
Sole ProprietorYes
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 26, 2018
✔ NPI 1639153430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 4120
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 4120 (SC)
112 SALUDA RIDGE CT STE 400, West Columbia, SC 29169
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward Mccray Wise Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2023 through April 11, 2027.

Opt-Out Effective DateApril 11, 2023
Opt-Out In Effect ThroughApril 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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

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

MATTHEW CHARLES NIMMICH D.M.D.
Dentist (Oral and Maxillofacial Surgery)
112 SALUDA RIDGE CT STE 400
WEST COLUMBIA, SC 29169
Lexington County (980) 243-3306

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 Edward Wise's NPI number?

The NPI number for Edward Wise is 1639153430. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Edward Wise located?

Edward Wise practices at 112 Saluda Ridge Ct Ste 400, West Columbia, SC 29169. The listed phone number is (803) 796-5791.

What is Edward Wise's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Edward Wise enrolled in Medicare?

No. Edward Wise has opted out of Medicare through April 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Edward Wise accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Edward 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 Edward Wise was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.