Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER K. WILDE, DDS
ActiveSPENCER K. WILDE, DDS is a 1223D0004X healthcare provider located in MESA, Arizona. NPI 1295893196 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · MESA, AZ
Registration Details
- NPI Number
- 1295893196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.693644254337 yrs)
- Last Updated
- Jul 1, 2016
- Licenses
-
D5497 (AZ)25894 (TX)
Practice Information
- Address
-
625 W SOUTHERN AVE STE E-145MESA, AZ, 852105030Browse AZ providers · Browse ZIP 85210
- Phone
- 4807108081
- Fax
- 8668141886
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- 1223D0004X
Other 1223D0004X Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| MARI CYNTHIA FUKAMI | DMD | 1811066541 |
| DR. REUBEN NELSON TURNER | D.D.S. | 1184799538 |
| DR. DONALD TUNE HOM | DDS | 1972678704 |
| DR. MATTHEW RYAN WALL | D.D.S. | 1629214820 |
| BRADLEY L FARR | DDS | 1962785097 |
| DR. AARON LEGRAND ROBERTS | D.M.D. | 1972864528 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.