PAYDEN TY WILDMAN DDS NPI 1265885719

NPI Information

  • NPI: 1265885719
  • Provider Name: PAYDEN TY WILDMAN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 885 VALLEY CREST DR
    CARSON CITY, NV
    ZIP 89705
  • Phone: (435) 764-3924

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NPI Details

Payden Ty Wildman, DDS is a general practice dentist in Carson City, NV. The provider is 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. Payden Ty Wildman, DDS NPI is 1265885719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

885 VALLEY CREST DR
CARSON CITY, NV
ZIP 89705-881
Phone: (435) 764-3924

The NPI 1265885719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 7/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6800NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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