# WISE OPTION DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wise Decision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407613375
- **Authorized official:** KIRBY JOHNSON DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (612) 834-2512

## Contact information

- **Practice address:** 10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
- **Practice address phone:** (612) 578-8893
- **Mailing address:** 320 CALAMUS CIR, MEDINA, MN 55340-9228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024