| Greggory S. Wilde, Dds, Ps | |
|
3594 Nw Lowell St Silverdale WA 98383-9116 | |
| (360) 692-0300 | |
| (360) 698-2988 |
| Full Name | Greggory S. Wilde, Dds, Ps |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3594 Nw Lowell St, Silverdale, Washington |
| Authorized Official Name and Position | Greggory Wayne Scott Wilde (PRESIDENT) |
| Authorized Official Contact | 3606920300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greggory S. Wilde, Dds, Ps Po Box 1970 Silverdale WA 98383-1970 Ph: (360) 692-0300 | Greggory S. Wilde, Dds, Ps 3594 Nw Lowell St Silverdale WA 98383-9116 Ph: (360) 692-0300 |
| NPI Number | 1497845523 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497845523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00004274 (Washington) | Primary |
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