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

Prof. Sam Wise, DDS, MOM, MSC, MDS

Individual provider Dentist · NPI 1417416728

Prof. Sam Wise, DDS, MOM, MSC, MDS is a Dentist in Rockwall, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas and Washington.

Licensed in
TX, WA
In the registry since
2019
Specialties on file
5
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.

See every abbreviation used in this directory →

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Practice location Address checks out

3045 N Goliad St Ste 105
Rockwall, TX 75087-7097
Phone: (972) 722-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 W University Dr Ste 1060, Denton, TX 76201-1607 — (940) 382-5900

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X · Licence 35081 (TX)
Dentist Taxonomy 122300000X · Licence 35081 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence 60795714 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 35081 (TX)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 35081 (TX)

Record details

NPI number1417416728
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MOM , MSC , MDS
Sole proprietorYes
NPI enumeratedMarch 16, 2019
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address1256 Timber Ln, Frisco, TX 75036-1743

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