Spencer K. Wilde is a Mesa, Arizona based Dentist Anesthesiologist who is specialized in Dental Anesthesiology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Spencer K. Wilde is D5497 for Dental Anesthesiology in Arizona. His current practice location is 625 W Southern Ave Ste E-145, Mesa. Patients can reach him at 480-710-8081.
Spencer K. Wilde has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditationís Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Complete Profile:
Spencer K. 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:
Spencer K. Wilde
Specialization:
Dentist Anesthesiologist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
625 W Southern Ave Ste E-145, Mesa, Arizona, 85210-5030
Phone:
480-710-8081
Fax:
866-814-1886
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:
1295893196
NPI Enumeration Date:
04 Dec, 2006
NPI Last Update On:
01 Jul, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spencer K. Wilde are as mentioned below.
License Number
Specialization
State
Status
D5497
Dental Anesthesiology
Arizona
Primary
25894
Dental Anesthesiology
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Spencer K. Wilde such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
884644
Other
Arizona
AHCCCS PROVIDER ID DSDA
863573
Other
Arizona
AHCCCS PROVIDER ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pmb 351, 6890 E. Sunrise Dr. Ste 120 Tucson, Arizona
Zip:
85750-0739
Phone Number:
520-730-6467
Fax Number:
520-529-2938
Patients can reach Spencer K. Wilde at 625 W Southern Ave Ste E-145, Mesa, Arizona or can call to book an appointment on 480-710-8081. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.