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Jerold C Wilde, DDSMS
Periodontist in Pasco, Washington
NPI 1588630099

Jerold C Wilde is a Periodontist based in Pasco, WA and is specialized in Periodontics. Jerold C Wilde practices in Pasco, WA and has the professional credentials of DDSMS. The NPI Number for Jerold C Wilde is 1588630099 and holds a License No. DE00009195 (Washington).

The current practice location address for Jerold C Wilde is 515 W Court St, Pasco, WA and can be reached out via phone at 509-547-2204.

Location: 515 W Court St, Pasco, WA, 99301-1223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588630099
Provider Name
Jerold C Wilde
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
515 W Court St, Pasco, WA, 99301-1223
Phone Number
509-547-2204
Fax Number
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
515 W Court St
City
Pasco
State
Washington
Zip
99301-3737
Phone Number
509-547-2204
Fax Number
person
Provider Business Mailing Address Details
Address
515 W Court St
City
Pasco
State
Washington
Zip
99301-3737
Phone Number
509-547-2204
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DE00009195 (Washington)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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