RANDALL M. WILK MD DDS PHD APMC NPI 1285849166

NPI Details

RANDALL M. WILK, MD, DDS, PHD, APMC is an oral maxillofacial surgery in Gretna, LA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. RANDALL M. WILK, MD, DDS, PHD, APMC NPI is 1285849166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 MEADOWCREST ST, #300
GRETNA, LA
ZIP 70056
Phone: (504) 362-6135
Fax: (504) 362-6134

The provider's authorized official is Randall M. Wilk .
The authorized official title is Owner and has the following contact phone number (504) 362-6135.

The enumeration date for this NPI number is 5/13/2007 and was last updated on 10/11/2013.

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:

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