P Praxis·MD
● Active Type 1 · Individual

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

Dentist·Rockwall, TX· NPI 1417416728 · Enumerated 2019 · 7 years on NPI
Wise is 1 of 1 dentist providers in Rockwall and 1 of 28 in Texas.
NPI age
7 years
Enumerated 2019-03-16
Primary specialty
Dentist
Plus 4 subspecialties
Licensed in
TX, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-01-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 28 active dentist providers in Texas.

NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
3
In the 42% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
3045 N Goliad St Ste 105
Rockwall, TX 750877097
📞 9727229100
Mailing address
1256 Timber Ln
Frisco, TX 750361743
📞 9737476425

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2700 W University Dr Ste 1060
Denton, TX 762011607
📞 9403825900

Specialties

  • Dentist Primary
    A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited...
    TX license #35081 taxonomy 1223X2210X
  • Dentist
    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...
    TX license #35081 taxonomy 122300000X
  • Dentist
    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.
    WA license #60795714TX license #35081 taxonomy 1223G0001X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    TX license #35081 taxonomy 1223S0112X

Identifiers

TypeValueNotes
01 (TX) 1487398285 NPI II
01 1518520170 NPI II
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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