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Randall Mark Wilk, MDDDSPHD
Oral & Maxillofacial Surgery (D.M.D.) in Gretna, Louisiana
NPI 1669578944

Randall Mark Wilk is a Oral & Maxillofacial Surgery (D.M.D.) based in Gretna, LA. Randall Mark Wilk practices in Gretna, LA and has the professional credentials of MDDDSPHD. The NPI Number for Randall Mark Wilk is 1669578944 and holds a License No. 4669 (Louisiana).

The current practice location address for Randall Mark Wilk is 120 Meadowcrest St., Gretna, LA and can be reached out via phone at 504-362-6135 and via fax at 504-362-6134. You can also correspond with Randall Mark Wilk through the mailing address at 120 MEADOWCREST ST., GRETNA, LA - 70056 (mailing address contact number: 504-362-6135).

Location: 120 Meadowcrest St., Gretna, LA, 70056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669578944
Provider Name
Randall Mark Wilk
Credential
MDDDSPHD
Provider Entity Type
Individual
Gender
Male
Address
120 Meadowcrest St., Gretna, LA, 70056
Phone Number
504-362-6135
Fax Number
504-362-6134
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
120 Meadowcrest St.
City
Gretna
State
Louisiana
Zip
70056
Phone Number
504-362-6135
Fax Number
504-362-6134
person
Provider Business Mailing Address Details
Address
120 Meadowcrest St.
City
Gretna
State
Louisiana
Zip
70056
Phone Number
504-362-6135
Fax Number
504-362-6134
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
022962 (Louisiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
4669 (Louisiana)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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