DR. JAKE THOMAS WILDING D.D.S NPI 1376975680

NPI Information

  • NPI: 1376975680
  • Provider Name: DR. JAKE THOMAS WILDING, D.D.S
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: US ARMY DENTAL HEALTH ACTIVITY
    36000 SHOEMAKER LANE, SUITE 1051
    FORT CAVAZOS, TX
    ZIP 76544
  • Phone: (254) 287-3105

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NPI Details

DR. Jake Thomas Wilding, D.D.S is a prosthodontics dentist in Fort Cavazos, TX with 13 years of experience. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Jake Thomas Wilding, D.D.S NPI is 1376975680. 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:

US ARMY DENTAL HEALTH ACTIVITY
36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX
ZIP 76544-654
Phone: (254) 287-3105

The NPI 1376975680 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, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/9/2013 and was last updated on 9/23/2025.

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
1122300000XDentist39234TEXASNo
21223P0700XDentistProsthodontics8726975-9922UTAHYes
3122300000XDentist8726975-9922UTAHNo
41223S0112XDentistOral and Maxillofacial Surgery39234TEXASNo

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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