SPENCER K. WILDE DDS NPI 1295893196

NPI Information

  • NPI: 1295893196
  • Provider Name: SPENCER K. WILDE, DDS
  • Classification: Dentist - 1223D0004X
  • Specialization: Dentist Anesthesiologist
  • Entity Type: Individual
  • Address: 625 W SOUTHERN AVE STE E-145
    MESA, AZ
    ZIP 85210
  • Phone: (480) 710-8081

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NPI Details

Spencer K. Wilde, DDS is a dentist anesthesiologist dentist in Mesa, AZ. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. Spencer K. Wilde, DDS NPI is 1295893196. 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:

625 W SOUTHERN AVE STE E-145
MESA, AZ
ZIP 85210-030
Phone: (480) 710-8081
Fax: (866) 814-1886

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/1/2016.

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
11223D0004XDentistDentist Anesthesiologist25894TEXASNo
21223D0004XDentistDentist AnesthesiologistD5497ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1884644OTHERARIZONAAHCCCS PROVIDER ID DSDA
2863573OTHERARIZONAAHCCCS PROVIDER ID

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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