Dustin K Wilde, DMD
Dentist in Waterbury, Connecticut
1518287275- Practice location
- 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418
- Phone
- 203-756-8021
- Fax
- 203-596-9038
- Last updated
- June 4, 2010
Dustin K Wilde is a Dentist based in Waterbury, CT. Dustin K Wilde practices in Waterbury, CT and has the professional credentials of DMD. The NPI Number for Dustin K Wilde is 1518287275 and holds a License No. Pending (CT). The current practice location address for Dustin K Wilde is 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 and can be reached out via phone at 203-756-8021 and via fax at 203-596-9038.
Provider Profile Details
- NPI Number
- 1518287275
- Provider Name
- Dustin K Wilde
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 4, 2010
- Last Update Date
- June 4, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Phoenix Ave
Suite 201
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
Provider Business Mailing Address Details
- Address
- 80 Phoenix Ave
Suite 201
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- CT
- Zip
- 06702-1418
- Phone Number
- 203-756-8021
- Fax Number
- 203-596-9038
License Information
- License Number
- Pending
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waterbury, CT
View all Dentists in Waterbury →Frequently Asked Questions
What is the NPI number of Dustin K Wilde, DMD?
The NPI number of Dustin K Wilde, DMD is 1518287275. It was assigned on June 4, 2010 and is currently active in the NPPES registry.
What is the specialty of Dustin K Wilde, DMD?
Dustin K Wilde, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number Pending.
Where does Dustin K Wilde, DMD practice?
The practice location is 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418. The office can be reached at 203-756-8021 (phone) or 203-596-9038 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518287275 directly on the NPPES registry website.