Mark I. Wilde, DDS

Dentist · Lauderhill, FL

Individual Active NPI

NPI number 1104993591

Practice location

5280 N University Dr
Lauderhill, FL 33351-5018
Phone
(954) 749-4594
Fax
(954) 578-9575

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NPI record

NPI
1104993591
Entity type
Individual (Type 1)
Enumeration date
November 29, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN9814 FL

About Dr. Wilde

Mark I. Wilde, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5280 N University Dr, Lauderhill, FL 33351-5018. The NPI number 1104993591 was assigned on November 29, 2006 and the record was last updated on July 8, 2007.

Dr. Wilde lists a license in the registry: #DN9814 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark I. Wilde, DDS?

The NPI number is 1104993591.

What is the phone number of Dr. Wilde?

The phone number listed for the practice location is (954) 749-4594.

Where is Dr. Wilde located?

5280 N University Dr, Lauderhill, FL 33351-5018.

What is the taxonomy code for Dr. Wilde?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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