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Active NPI 1316716350 Individual Practitioner Male Practitioner

Dr. Wisdom Osisioma , DDS, MPH

Dentist • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Dr. Wisdom Osisioma, DDS, MPH is a registered healthcare professional specializing in Dentist in Clovis, NM. Practice services are available at 3700 N PRINCE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3700 N Prince St

Clovis, NM 881012103

Telephone 5752193040

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Clovis, NM (630 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

CMS Verified: 2025-07-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DB-2025-0140

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NM DB-2025-0140

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Jennifer Talbott , DDS

Dentist - General Practice

NPI 1467706366

Doctor of Dental Surgery

NPI 1912578949

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 25, 2025

Registered at 3700 N PRINCE ST, CLOVIS, NM 881012103 (Tel: 5752193040)

📍
Updated Business Mailing Address July 25, 2025

Registered at 3700 N PRINCE ST, CLOVIS, NM 881012103

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2025

Dentist (License #DB-2025-0140 in NM)

NPI Profile Active January 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2024

Registered at 707 PARNASSUS AVE, SAN FRANCISCO, CA 941432210 (Tel: 4155025800)

📍
Updated Business Mailing Address January 01, 2024

Registered at 707 PARNASSUS AVE, SAN FRANCISCO, CA 941432210

👤
Provider Name / Credentials Updated January 01, 2024

Recorded as WISDOM OSISIOMA, DDS, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 01, 2024

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: 1316716350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2024
Last Update: July 25, 2025
Sole Proprietor: No

Mailing Address

3700 N Prince St

Clovis, NM 881012103

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.