1497845523 NPI number — GREGGORY S. WILDE, DDS, PS

Table of content: (NPI 1497845523)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497845523 NPI number — GREGGORY S. WILDE, DDS, PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREGGORY S. WILDE, DDS, PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497845523
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1970
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVERDALE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98383-1970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-692-0300
Provider Business Mailing Address Fax Number:
360-698-2988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3594 NW LOWELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVERDALE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98383-9116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-692-0300
Provider Business Practice Location Address Fax Number:
360-698-2988
Provider Enumeration Date:
10/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILDE
Authorized Official First Name:
GREGGORY
Authorized Official Middle Name:
WAYNE SCOTT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
360-692-0300

Provider Taxonomy Codes

  • Taxonomy code: 1223P0300X , with the licence number:  DE00004274 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)