Greggory S. Wilde, Dds, Ps in Silverdale - Periodontics

Greggory S. Wilde, Dds, Ps - NPI 1497845523

Greggory S. Wilde, Dds, Ps is a Periodontics in Silverdale, Washington. Greggory S. Wilde, Dds, Ps practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Greggory S. Wilde, Dds, Ps is 1497845523. The last update date is 2020-08-22.

Greggory S. Wilde, Dds, Ps's current location address is Po Box 1970, Silverdale, Washington. You can contact this provider via phone number 3606920300 and fax number 3606982988. The mailing address for Greggory S. Wilde, Dds, Ps is Po Box 1970, Silverdale, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greggory S. Wilde, Dds, Ps
Address Po Box 1970, Silverdale, Washington
Phone Number 3606920300
Fax Number 3606982988
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wilde Wayne Scot Greggory
Credentials DDS
Telephone Number 3606920300

NPI Number Detail

NPI Number 1497845523
Provider Enumeration Date 2006-10-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 1970
City Silverdale
State Washington (WA)
Post Code 983831970
Phone Number 3606920300
Fax Number 3606982988

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DE00004274
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 Greggory S. Wilde, Dds, Ps

What is the unique identification code assigned to Greggory S. Wilde, Dds, Ps by the Centers for Medicare & Medicaid Services?

The Greggory S. Wilde, Dds, Ps has been issued the NPI (National Provider Identifier) 1497845523. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Greggory S. Wilde, Dds, Ps is geographically located?

The Greggory S. Wilde, Dds, Ps is physically situated at the following location: Po Box 1970, Silverdale, WA, 983831970.

What is Greggory S. Wilde, Dds, Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Greggory S. Wilde, Dds, Ps is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1497845523 to Greggory S. Wilde, Dds, Ps?

The Centers for Medicare & Medicaid Services assigned the 1497845523 to Greggory S. Wilde, Dds, Ps on 2006-10-12.

As of what date were the details related to Greggory S. Wilde, Dds, Ps most recently updated or revised?

The information pertaining to Greggory S. Wilde, Dds, Ps, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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