Spencer K. Wilde in Tucson - Dentist Anesthesiologist

Spencer K. Wilde - NPI 1295893196

Spencer K. Wilde is a Dentist Anesthesiologist in Tucson, Arizona. Spencer K. Wilde practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Spencer K. Wilde is 1295893196. The last update date is 2016-07-01.

Spencer K. Wilde's current location address is Pmb 351, Tucson, Arizona. You can contact this provider via phone number 5207306467 and fax number 5205292938. The mailing address for Spencer K. Wilde is Pmb 351, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Spencer K. Wilde
Address Pmb 351, Tucson, Arizona
Phone Number 5207306467
Fax Number 5205292938
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1295893196
Provider Enumeration Date 2006-12-04
Last Updated Date 2016-07-01

Provider Mailing Address Detail

Address Pmb 351
City Tucson
State Arizona (AZ)
Post Code 857500739
Phone Number 5207306467
Fax Number 5205292938

Provider's Primary Taxonomy Detail

Speciality Dentist Anesthesiologist
Taxonomy 1223D0004X
Licence No D5497
Definition:
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
884644 AZ AHCCCS PROVIDER ID DSDA
863573 AZ AHCCCS PROVIDER ID

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FAQs about Spencer K. Wilde

What is the unique 10-digit identification code issued to Spencer K. Wilde by the Centers for Medicare & Medicaid Services?

The Spencer K. Wilde has been assigned the NPI (National Provider Identifier) 1295893196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Spencer K. Wilde's facilities are situated?

The facilities of Spencer K. Wilde are physically located at the following address: Pmb 351, Tucson, AZ, 857500739.

What is Spencer K. Wilde's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Spencer K. Wilde is Dentist Anesthesiologist, and the taxonomy code that classifies this field of practice is 1223D0004X.

When did the Spencer K. Wilde receive its 1295893196?

The Spencer K. Wilde was issued its 1295893196 on 2006-12-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Spencer K. Wilde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Spencer K. Wilde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-01.

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