Wilde, Jerold C

Wilde, Jerold C is an individual health care provider with primary practice located at 515 W Court St , Pasco WA 99301-3737. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wilde, Jerold C can be contacted via phone (509) 547-2204.

Contact Information

Primary practice address
515 W Court St Pasco WA 99301-3737
Phone: (509) 547-2204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DE00009195 Washington

Profile Details

NPI number 1588630099
LBN Legal business name Wilde, Jerold C
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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