Wise Omfs

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

WISE OMFS

Practice address

711 Kornegay Dr
Prattville, AL 36066-7715

Phone

(334) 285-7111

NPI assigned

May 6, 2024

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dharti Patel

Title

Clinical Ops & Business Development

Phone

(973) 722-3327

Specialties & licenses 1

Addresses

Tax ID family

Wise Omfs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wise Omfs

  • Oral and Maxillofacial Surgery Clinic/Center
  • Trussville, AL
  • NPI 1114621687
  NPD tax ID
• Wise Omfs, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Hoover, AL
  • NPI 1497593925
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1952158909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KORNEGAY DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667715",
            "telephone_number": "334-325-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KORNEGAY DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667715",
            "telephone_number": "334-285-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE OMFS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARTI",
        "authorized_official_title_or_position": "CLINICAL OPS & BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "973-722-3327"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teakeya Lashay Williams
• Amanda Williamson, BCBA
• Willoughby Anesthesia, P.C.
• Jer'Donna Downesha Wilson, CRNP
• Katherine Booty Windham, MD
• Alan A Wood, D.M.D.
• Jennifer-Nicole Lee Wood, OTR/L
• Scarlett Carter Wood, RN
• Stephen Tate Woods, PHARM D
• Wybenga Family Healthcare, Inc.

• Oral & Maxillofacial Surgery (D.M.D.) in Prattville, AL
• Providers in Prattville, AL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.