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Dr. Lewis Clark Wilde, DDS
Student in an Organized Health Care Education/Training Program in Gallup, New Mexico
NPI 1922673599

Lewis Clark Wilde is a Student in an Organized Health Care Education/Training Program based in Gallup, NM. Lewis Clark Wilde practices in Gallup, NM and has the professional credentials of DDS. The NPI Number for Lewis Clark Wilde is 1922673599 and holds a License No. DD5467 (New Mexico).

The current practice location address for Lewis Clark Wilde is 1601 S Second St, Gallup, NM and can be reached out via phone at 505-722-4422 and via fax at 505-722-2060.

Location: 1601 S Second St, Gallup, NM, 87301-5627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922673599
Provider Name
Lewis Clark Wilde
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1601 S Second St, Gallup, NM, 87301-5627
Phone Number
505-722-4422
Fax Number
505-722-2060
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 S Second St
City
Gallup
State
New Mexico
Zip
87301-5816
Phone Number
505-722-4422
Fax Number
505-722-2060
person
Provider Business Mailing Address Details
Address
1601 S Second St
City
Gallup
State
New Mexico
Zip
87301-5816
Phone Number
505-722-4422
Fax Number
505-722-2060
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
()
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DD5467 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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