Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Wiseman, DDS

Individual provider Dentist · NPI 1033536800

Charles Wiseman, DDS is a Dentist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2509 Pico Blvd
Santa Monica, CA 90405-1828
Phone: (310) 392-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 26245 (CA)
Dentist Taxonomy 122300000X · Licence 26245 (CA)

Record details

NPI number1033536800
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 18, 2014
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

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