Lisa Karen Wilde, D.D.S.

General Practice Dentistry · Mesquite, TX

Individual Active NPI

NPI number 1457466013

Practice location

1515 E Kearney St Ste 101
Mesquite, TX 75149-2688
Phone
(972) 329-0018
Fax
(972) 329-0019

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NPI record

NPI
1457466013
Entity type
Individual (Type 1)
Enumeration date
August 21, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X TX17243 TX

Mailing address

318 W Trinity St
Forney, TX 75126-9561
Phone
(972) 564-3371
Fax
(972) 329-0019

About Dr. Wilde

Lisa Karen Wilde, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1515 E Kearney St Ste 101, Mesquite, TX 75149-2688. The NPI number 1457466013 was assigned on August 21, 2006 and the record was last updated on July 8, 2007.

Dr. Wilde lists a license in the registry: #TX17243 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Karen Wilde, D.D.S.?

The NPI number is 1457466013.

What is the phone number of Dr. Wilde?

The phone number listed for the practice location is (972) 329-0018.

Where is Dr. Wilde located?

1515 E Kearney St Ste 101, Mesquite, TX 75149-2688.

What is the taxonomy code for Dr. Wilde?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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