institution
John A. Wilde D.d.s. Inc.
Specialist in Keokuk, Iowa
NPI 1427215441

John A. Wilde D.d.s. Inc. is a Specialist based in Keokuk, IA. John A. Wilde D.d.s. Inc. practices in Keokuk, IA. The NPI Number for John A. Wilde D.d.s. Inc. is 1427215441 and holds a License No. 05824 (Iowa).

The current practice location address for John A. Wilde D.d.s. Inc. is 1626 Morgan St, Keokuk, IA and can be reached out via phone at 319-524-1477 and via fax at 319-524-7965.

Location: 1626 Morgan St, Keokuk, IA, 52632-3424
institution
Provider Profile Details
NPI Number
1427215441
Provider Name
John A. Wilde D.d.s. Inc.
Credential
Provider Entity Type
Organization
Address
1626 Morgan St, Keokuk, IA, 52632-3424
Phone Number
319-524-1477
Fax Number
319-524-7965
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05824 01 IA IOWA DENTAL LICENSE
38071 01 IA BCBS PROVIDER#
1089326 05 IA
institution
Provider Business Practice Location Address Details
Address
1626 Morgan St
City
State
Zip
52632-3424
Phone Number
319-524-1477
Fax Number
319-524-7965
person
Provider Business Mailing Address Details
Address
1626 Morgan St
City
State
Zip
52632-3424
Phone Number
319-524-1477
Fax Number
319-524-7965
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
05824 (Iowa)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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