Tyler Craig Wildey, DDS | |
711 W 38th St, Suite A-1, Austin, TX 78705-1121 | |
(512) 498-0104 | |
(512) 498-0150 |
Full Name | Tyler Craig Wildey |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 7 Years |
Location | 711 W 38th St, Austin, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629320353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 27458 (Texas) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 0 (Texas) | Secondary |
Entity Name | Austin Oral & Maxillofacial Surgery Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508875147 PECOS PAC ID: 3971505645 Enrollment ID: O20070208000501 |
Mailing Address | Practice Location Address |
---|---|
Tyler Craig Wildey, DDS 711 W 38th St, Suite A-1, Austin, TX 78705-1121 Ph: (512) 498-0104 | Tyler Craig Wildey, DDS 711 W 38th St, Suite A-1, Austin, TX 78705-1121 Ph: (512) 498-0104 |
Dr. Valerie Mariana Santiago-doyle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5701 W Slaughter Ln, Suite B120, Austin, TX 78749 Phone: 512-467-4722 | |
Dr. Staci R Ianiro, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2559 Western Trails Blvd, Suite 302, Austin, TX 78745 Phone: 512-439-5755 Fax: 512-439-5744 | |
Bethany Anne Petersen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4410 E Riverside Dr Ste 150, Austin, TX 78741 Phone: 855-512-7625 | |
Deana Victoria Smalls, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3432 Ribbon Reef Ln, Austin, TX 78728 Phone: 512-913-0882 | |
Dr. Hardik Jayesh Shah, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9813 N Lamar Blvd, Austin, TX 78753 Phone: 512-593-4463 | |
Dr. Gary Robert Herron Ii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6611 E Highway 290, Austin, TX 78723 Phone: 512-459-3821 | |
Dr. George Maury Blackburn, D.M.D., F.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12505 Hymeadow Dr, Suite 2d, Austin, TX 78750 Phone: 512-258-3627 Fax: 512-258-0755 |