ERIC J. WISDOM D.D.S., P.A.
NPI 1861418469
Dentist - General Practice in Manhattan, KS

Active since July 15, 2006
1629 POYNTZ AVE, MANHATTAN, KS 66502(785) 776-1771(785) 539-3905 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric J. Wisdom D.d.s., P.a. NPPES

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

ERIC J. WISDOM D.D.S., P.A. (NPI 1861418469) is a healthcare organization registered as a general practice in Manhattan, Kansas and active in the NPI registry since July 2006. The organization lists Eric J Wisdom, Owner, as its authorized official.

NPPES Registry Identity

NPI1861418469
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameERIC J. WISDOM D.D.S., P.A.
Location Address1629 POYNTZ AVEManhattan, KS 66502-4148
Mailing Address1629 Poyntz AveManhattan, KS 66502-4148 · (785) 776-1771 · Fax (785) 539-3905
Fax(785) 539-3905
Organization SubpartNo
Authorized OfficialEric J WisdomOwner · (785) 776-1771
Enumeration DateJuly 15, 2006
Last NPPES UpdateNovember 29, 2012
NPI 1861418469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1629 POYNTZ AVE, Manhattan, KS 66502

Other Identifiers 1

Medicaid100095990CKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Dentist
1629 POYNTZ AVE
MANHATTAN, KS 66502
Dentist (General Practice)
1629 POYNTZ AVE
MANHATTAN, KS 66502
Dentist (Prosthodontics)
1629 POYNTZ AVE
MANHATTAN, KS 66502
Dentist (General Practice)
1629 POYNTZ AVE
MANHATTAN, KS 66502
Dentist
1629 POYNTZ AVE
MANHATTAN, KS 66502
Clinic/Center (Dental)
1629 POYNTZ AVE
MANHATTAN, KS 66502

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 Eric J. Wisdom D.D.S., P.A.'s NPI number?

The NPI number for Eric J. Wisdom D.D.S., P.A. is 1861418469. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Eric J. Wisdom D.D.S., P.A. located?

Eric J. Wisdom D.D.S., P.A. is located at 1629 Poyntz Ave, Manhattan, KS 66502. The listed phone number is (785) 776-1771.

What is Eric J. Wisdom D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eric J. Wisdom D.D.S., P.A. was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.