Richard David Wildman
Dentist
210 Park Street Richard D Wildman
McCall
, Idaho 83638-2249
(208) 634-7071
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About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Dentist
Languages spoken
- English
Location
First Address
- Richard David Wildman
- Po Box 2249
- Mccall, ID
- Zip : 83638
- Fax : (208) 634-7071
- Phone : (208) 634-7071
Second Address
- Richard David Wildman
- 210 Park Street Richard D Wildman
- Mccall, ID
- Zip : 83638-2249
- Fax : (208) 634-7071
- Phone : (208) 634-7071
Reviews
FAQs
Where did Richard David Wildman attend graduate school?
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Where did Richard David Wildman do his residency?
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Where did Richard David Wildman do his fellowship?
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Is Richard David Wildman board certified?
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What type of doctor is Richard David Wildman
Dentist
In what state does Richard David Wildman practice in?
Idaho
Where is Richard David Wildman ’s practice located?
210 Park Street Richard D Wildman , McCall, Idaho, 83638-2249
What is Richard David Wildman ’s gender?
Male
Is Richard David Wildman a sole practitioner?
No
Is Richard David Wildman accepting new patients?
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What languages does Richard David Wildman speak?
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Does Richard David Wildman accept insurance?
Yes, Richard David Wildman accepts insurance
Does Richard David Wildman offers telemedicine?
Richard David Wildman has not indicated if he offers telemedicine
What is Richard David Wildman ’s professional license number?
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What is Richard David Wildman ’s NPI number?
1003999749
Does Richard David Wildman have any license restrictions?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | D1375 | ID |
National Provider Identifier
| NPI | 1003999749 |
|---|---|
| Provider Name | Richard David Wildman |
| First Address | Mccall, ID 83638 |
| Second Address | Mccall, ID 83638-2249 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.