Randall M. Wilk, Md, Dds, Phd, Apmc in Gretna - Oral & Maxillofacial Surgery
Randall M. Wilk, Md, Dds, Phd, Apmc - NPI 1285849166
Randall M. Wilk, Md, Dds, Phd, Apmc is a Oral & Maxillofacial Surgery in Gretna, Louisiana. Randall M. Wilk, Md, Dds, Phd, Apmc practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Randall M. Wilk, Md, Dds, Phd, Apmc is 1285849166. The last update date is 2013-10-11.
Randall M. Wilk, Md, Dds, Phd, Apmc's current location address is 120 Meadowcrest St, #300, Gretna, Louisiana. You can contact this provider via phone number 5043626135 and fax number 5043626134. The mailing address for Randall M. Wilk, Md, Dds, Phd, Apmc is 120 Meadowcrest St, #300, Gretna, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randall M. Wilk, Md, Dds, Phd, Apmc |
|---|---|
| Address | 120 Meadowcrest St, #300, Gretna, Louisiana |
| Phone Number | 5043626135 |
| Fax Number | 5043626134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilk M. Randall |
| Credentials | MD |
| Telephone Number | 5043626135 |
NPI Number Detail
| NPI Number | 1285849166 |
|---|---|
| Provider Enumeration Date | 2007-05-13 |
| Last Updated Date | 2013-10-11 |
Provider Mailing Address Detail
| Address | 120 Meadowcrest St, #300 |
|---|---|
| City | Gretna |
| State | Louisiana (LA) |
| Post Code | 70056 |
| Phone Number | 5043626135 |
| Fax Number | 5043626134 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 22962 |
|
Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1890197 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Randall M. Wilk, Md, Dds, Phd, Apmc by the Centers for Medicare & Medicaid Services?
The Randall M. Wilk, Md, Dds, Phd, Apmc has been assigned the NPI (National Provider Identifier) 1285849166 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 address where Randall M. Wilk, Md, Dds, Phd, Apmc is geographically located?
The Randall M. Wilk, Md, Dds, Phd, Apmc is physically situated at the following location: 120 Meadowcrest St, #300, Gretna, LA, 70056.
What is Randall M. Wilk, Md, Dds, Phd, Apmc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randall M. Wilk, Md, Dds, Phd, Apmc is Oral & Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 204E00000X.
On what date did the Randall M. Wilk, Md, Dds, Phd, Apmc receive the assignment of its 1285849166 from the Centers for Medicare & Medicaid Services?
The Randall M. Wilk, Md, Dds, Phd, Apmc was issued its 1285849166 by the Centers for Medicare & Medicaid Services on 2007-05-13.
As of what date were the details pertaining to Randall M. Wilk, Md, Dds, Phd, Apmc last refreshed?
The information related to the Randall M. Wilk, Md, Dds, Phd, Apmc, including its address, specialty, and other relevant details, was last updated on 2013-10-11.