Jerold C Wilde in Pasco - Periodontics

Jerold C Wilde - NPI 1588630099

Jerold C Wilde is a Periodontics in Pasco, Washington. Jerold C Wilde practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jerold C Wilde is 1588630099. The last update date is 2011-11-09.

Jerold C Wilde's current location address is Po Box 1452, Pasco, Washington. You can contact this provider via phone number 5095472204. The mailing address for Jerold C Wilde is Po Box 1452, Pasco, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerold C Wilde
Address Po Box 1452, Pasco, Washington
Phone Number 5095472204
Fax Number
Sole Proprietor N
Credentials DDS MS

NPI Number Detail

NPI Number 1588630099
Provider Enumeration Date 2006-02-24
Last Updated Date 2011-11-09

Provider Mailing Address Detail

Address Po Box 1452
City Pasco
State Washington (WA)
Post Code 993011223
Phone Number 5095472204
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DE00009195
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Jerold C Wilde

What is the unique 10-digit identifier code issued to Jerold C Wilde by the Centers for Medicare & Medicaid Services?

The Jerold C Wilde has been assigned the NPI (National Provider Identifier) 1588630099 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jerold C Wilde is geographically located?

The Jerold C Wilde is physically situated at the following location: Po Box 1452, Pasco, WA, 993011223.

What is Jerold C Wilde's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerold C Wilde is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

When did Jerold C Wilde receive its 1588630099 assignment?

The Jerold C Wilde was assigned its 1588630099 on 2006-02-24, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jerold C Wilde, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jerold C Wilde, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-09.

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