DR. RASHIDAH TYNETTA WILEY D.D.S. NPI 1578829974

NPI Information

  • NPI: 1578829974
  • Provider Name: DR. RASHIDAH TYNETTA WILEY, D.D.S.
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 MARITIME DR
    ELK GROVE, CA
    ZIP 95758
  • Phone: (916) 686-8914

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NPI Details

DR. Rashidah Tynetta Wiley, D.D.S. is an oral and maxillofacial pathology dentist in Elk Grove, CA. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Rashidah Tynetta Wiley, D.D.S. NPI is 1578829974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 MARITIME DR
ELK GROVE, CA
ZIP 95758-660
Phone: (916) 686-8914

The NPI 1578829974 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 4/10/2012 and was last updated on 1/16/2024.

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
11223P0106XDentistOral and Maxillofacial PathologyDEN4597MAINENo
21223P0106XDentistOral and Maxillofacial Pathology10225KENTUCKYNo
31223P0106XDentistOral and Maxillofacial Pathology64355CALIFORNIAYes

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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