Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902822596 Individual Practitioner Male Practitioner

Dr. Eric J Wisdom , DDS

Dentist - General Practice • Manhattan, KS

Professional Overview & Biography Verified Profile Summary

Dr. Eric Wisdom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Manhattan, KS. Practice services are available at 1629 POYNTZ AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1629 Poyntz Ave

Manhattan, KS 665024148

Telephone 7857761771
Fax 7855393905
Associated Practice Facility / Clinic
🏢 Eric J. Wisdom D.d.s., P.a. Facility NPI 1861418469

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manhattan, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
30 Specialists

Practicing in Manhattan, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 5188

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100095990C (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Madeleine Carlborg-Davis , DMD

Dentist - General Practice

NPI 1770227415

Doctor of Dental Medicine

Dr. Mark Vail , DDS

Dentist - Prosthodontics

NPI 1851477814

Doctor of Dental Surgery

NPI 1972295012

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2012

Registered at 1629 POYNTZ AVE, MANHATTAN, KS 665024148 (Tel: 7857761771)

📍
Updated Business Mailing Address November 29, 2012

Registered at 1629 POYNTZ AVE, MANHATTAN, KS 665024148 (Tel: 7857761771)

👤
Provider Name / Credentials Updated November 29, 2012

Recorded as ERIC WISDOM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2012

Dentist (License #5188 in KS)

🟢
Initial NPI Registration & Enumeration July 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902822596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2006
Last Update: November 29, 2012
Sole Proprietor: No

Mailing Address

1629 Poyntz Ave

Manhattan, KS 665024148

Phone: 7857761771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.