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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.