DR. JOLENE WISE (NPI# 1265691463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265691463 |
| Entity Type | Individual |
| Full Name | DR. JOLENE WISE |
| Credential | D.D.S. |
| Practice Address |
43 Coventry Rdg South Charleston WV 25309-9541 |
| Mailing Address |
Po Box 58304 Charleston WV 25358-0304 |
| Practice Telephone | 3047460020 |
| Mailing Telephone | 3047671367 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3387 | WV | Dental Providers |
| Street Address |
43 COVENTRY RDG |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336220219 | Joshua Patrick Chapman | Dentist | 308 C St, South Charleston, WV 25303-1219 | 2006-10-18 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| 1285678284 | Steven Ghareeb | Dentist | 1203 Jefferson Rd, South Charleston, WV 25309-9732 | 2006-06-16 |
| 1174529903 | Terry L Lake | Dentist | 5001 Maccorkle Ave Sw, South Charleston, WV 25309-1217 | 2005-06-27 |
| 1093096364 | Danielle Magro Wade | Dentist | 855 Creekstone Rdg, South Charleston, WV 25309-9469 | 2011-08-31 |
| 1114166279 | Drs. Chapman & Puderbaugh Dds, Pllc | Dentist | 308 C St, South Charleston, WV 25303-1219 | 2009-02-13 |
| 1659591998 | Monica Renee Puderbaugh | Dentist | 308 C St, South Charleston, WV 25303-1219 | 2007-04-27 |
| 1215092606 | Vivian L. French, Dds | Dentist | 139 7th Ave, South Charleston, WV 25303-1453 | 2006-12-26 |
| 1770694150 | Micheal L. Richardson | Dentist | 1000 Parkway Rd, South Charleston, WV 25309-9418 | 2006-08-31 |
| 1770694176 | James A. Kennedy | Dentist | 1000 Parkway Rd, Suite D, South Charleston, WV 25309-9418 | 2006-08-31 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on DR. JOLENE WISE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.