John A. Wilde D.D.S. Inc.

LBN: John A. Wilde D.D.S. Inc.
John A. Wilde D.D.S. Inc. is an health care organization with primary practice located at 1626 Morgan St , Keokuk IA 52632-3424. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John A. Wilde D.D.S. Inc. can be contacted via phone (319) 524-1477, or through Vogel, Becky L via phone (319) 524-1477.

Contact Information

Primary practice address
1626 Morgan St Keokuk IA 52632-3424
Fax: (319) 524-7965
Website:
Authorized official contact:
Name: Vogel, Becky L Registered Dental Assistant (RDA)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 05824 Iowa

Profile Details

NPI number 1427215441
LBN Legal business name John A. Wilde D.D.S. Inc.
DBA Doing business as
Authorized official Vogel, Becky L Registered Dental Assistant (RDA)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427215441 NPPES
Iowa Other 05824 IOWA DENTAL LICENSE
Iowa Other 38071 IOWA DENTAL LICENSE
Iowa MEDICAID 1089326 IOWA DENTAL LICENSE

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