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CHRISTOPHER PAUL WILDE D.M.D. NPI 1275986499


NPI Information

NPI: 1275986499
Provider Name: CHRISTOPHER PAUL WILDE, D.M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
34800 BOB WILSON DR
NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-7935
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Christopher Paul Wilde, D.M.D. is a student in an organized health care education training program in San Diego, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Christopher Paul Wilde, D.M.D. NPI is 1275986499. 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:

34800 BOB WILSON DR
NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA
ZIP 92134-000
Phone: (619) 532-7935

The enumeration date for this NPI number is 7/22/2016 and was last updated on 7/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistDT-2657HAWAIINo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAD0000MEDICARE UPIN

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: 4/28/2024

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