Jerold C. Wilde, DDS MS
Periodontics · Pasco, WA
Practice location
515 W Court StPasco, WA 99301-3737
- Phone
- (509) 547-2204
NPI record
- NPI
- 1588630099
- Entity type
- Individual (Type 1)
- Enumeration date
- February 24, 2006
- Last updated
- November 9, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
DE00009195 | WA |
Mailing address
PO Box 1452Pasco, WA 99301-1223
- Phone
- (509) 547-2204
About Jerold Wilde
Jerold C. Wilde, DDS MS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 515 W Court St, Pasco, WA 99301-3737. The NPI number 1588630099 was assigned on February 24, 2006 and the record was last updated on November 9, 2011.
Jerold Wilde lists a license in the registry: #DE00009195 (WA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jerold C. Wilde, DDS MS?
The NPI number is 1588630099.
What is the phone number of Jerold Wilde?
The phone number listed for the practice location is (509) 547-2204.
Where is Jerold Wilde located?
515 W Court St, Pasco, WA 99301-3737.
What is the taxonomy code for Jerold Wilde?
The primary taxonomy code is 1223P0300X – Periodontics.
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.