person
Dr. Blake Wilde, DDS
Pediatric Dentist in Reno, Nevada
NPI 1366706087

Blake Wilde is a Pediatric Dentist based in Reno, NV and is specialized in Pediatric Dentistry. Blake Wilde practices in Reno, NV and has the professional credentials of DDS. The NPI Number for Blake Wilde is 1366706087 and holds a License No. 6270 (Nevada).

The current practice location address for Blake Wilde is 10455 Double R Blvd, Reno, NV and can be reached out via phone at 775-823-9797.

Location: 10455 Double R Blvd, Reno, NV, 89521-8905
person
Provider Profile Details
NPI Number
1366706087
Provider Name
Blake Wilde
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10455 Double R Blvd, Reno, NV, 89521-8905
Phone Number
775-823-9797
Fax Number
Provider Enumeration Date
06/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10455 Double R Blvd
City
State
Zip
89521-8905
Phone Number
775-823-9797
Fax Number
person
Provider Business Mailing Address Details
Address
10455 Double R Blvd
City
State
Zip
89521-8905
Phone Number
775-823-9797
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
6270 (Nevada)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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