Spencer K. Wilde
Dentist Anesthesiologist
625 W Southern Ave Ste E-145
Mesa
, Arizona 85210-5030
Spencer K. Wilde
Dentist Anesthesiologist
625 W Southern Ave Ste E-145
Mesa
, Arizona 85210-5030
(520) 529-2938
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About
Features
Specialties
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Spencer K. Wilde
- Pmb 351 6890 E. Sunrise Dr. Ste 120
- Tucson, AZ
- Zip : 85750-0739
- Fax : (520) 529-2938
- Phone : (520) 730-6467
Second Address
- Spencer K. Wilde
- 625 W Southern Ave Ste E-145
- Mesa, AZ
- Zip : 85210-5030
- Fax : (866) 814-1886
- Phone : (480) 710-8081
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FAQs
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Where did Spencer K. Wilde do his fellowship?
Is Spencer K. Wilde board certified?
What type of doctor is Spencer K. Wilde
In what state does Spencer K. Wilde practice in?
Where is Spencer K. Wilde ’s practice located?
What is Spencer K. Wilde ’s gender?
Is Spencer K. Wilde a sole practitioner?
Is Spencer K. Wilde accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0004X | Dentist Anesthesiologist | 25894 | TX |
| Y | 1223D0004X | Dentist Anesthesiologist | D5497 | AZ |
National Provider Identifier
| NPI | 1295893196 |
|---|---|
| Provider Name | Spencer K. Wilde |
| First Address | Tucson, AZ 85750-0739 |
| Second Address | Mesa, AZ 85210-5030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 01/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 863573 | AHCCCS PROVIDER ID (01) | AZ |
| 884644 | AHCCCS PROVIDER ID DSDA (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.