GREGGORY S. WILDE DDS PS NPI 1497845523

NPI Information

  • NPI: 1497845523
  • Provider Name: GREGGORY S. WILDE, DDS, PS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 3594 NW LOWELL ST
    SILVERDALE, WA
    ZIP 98383
  • Phone: (360) 692-0300

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NPI Details

GREGGORY S. WILDE, DDS, PS is a periodontics dentist in Silverdale, WA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GREGGORY S. WILDE, DDS, PS NPI is 1497845523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3594 NW LOWELL ST
SILVERDALE, WA
ZIP 98383-116
Phone: (360) 692-0300
Fax: (360) 698-2988

The provider's authorized official is Greggory Wayne Scott Wilde .
The authorized official title is President and has the following contact phone number (360) 692-0300.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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
11223P0300XDentistPeriodonticsDE00004274WASHINGTONYes

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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