Individual provider · Type 1 NPI
Lisa Karen Wilde, DDS
General Practice Dentistry · Mesquite, TX
NPI number
1457466013
Active
Practice location
1515 E Kearney St Ste 101
Mesquite, TX 75149-2688
Fax (972) 329-0019
Mailing address
318 W Trinity St
Forney, TX 75126-9561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | TX17243 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1457466013
Lisa Karen Wilde, DDS's National Provider Identifier is 1457466013, issued on Aug 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mesquite, TX. The record was last updated on Jul 8, 2007.