Dr. Lewis Clark Wilde is a Gallup, New Mexico based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lewis Clark Wilde is
DD5467 for Dentistry in New Mexico. His current practice location is
1601 S Second St, Gallup. Patients can reach him at
505-722-4422.
Dr. Lewis Clark Wilde is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Lewis Clark Wilde speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Lewis Clark Wilde |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1601 S Second St, Gallup,
New Mexico, 87301-5816 |
| Phone: | 505-722-4422 |
| Fax: | 505-722-2060 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1922673599 |
| NPI Enumeration Date: | 25 May, 2021 |
| NPI Last Update On: | 06 Jul, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lewis Clark Wilde are as mentioned below.
| License Number | Specialization | State | Status | |
| DD5467 | Dentistry | New Mexico | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2001 Mariyana Ave,
Gallup, New Mexico |
| Zip: | 87301-5627 |
| Phone Number: | 435-669-0156 |
Patients can reach Dr. Lewis Clark Wilde at
1601 S Second St, Gallup, New Mexico or can
call to book an appointment on 505-722-4422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.