Dr Lewis Clark Wilde, DDS - Dentist in Gallup, NM

Dr Lewis Clark Wilde, DDS is a Dentist based in Gallup, New Mexico. Dr Lewis Clark Wilde is licensed to practice in New Mexico (license number DD5467) and his current practice location is 1601 S Second St, Gallup, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 722-4422.

NPI number for Dr Lewis Clark Wilde is 1922673599 and his current mailing address is 2001 Mariyana Ave, Gallup, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922673599.

Contact Information

Dr Lewis Clark Wilde, DDS
1601 S Second St,
Gallup, NM 87301-5816
(505) 722-4422
(505) 722-2060

Map and Direction




Healthcare Provider's Profile

Full NameDr Lewis Clark Wilde
GenderMale
SpecialityDentist
Location1601 S Second St, Gallup, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922673599
  • Provider Enumeration Date: 05/25/2021
  • Last Update Date: 07/06/2021

Medical Identifiers

Medical identifiers for Dr Lewis Clark Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922673599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DD5467 (New Mexico)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lewis Clark Wilde is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lewis Clark Wilde, DDS
2001 Mariyana Ave,
Gallup, NM 87301-5627

Ph: (435) 669-0156
Dr Lewis Clark Wilde, DDS
1601 S Second St,
Gallup, NM 87301-5816

Ph: (505) 722-4422

Reviews and Comments


Dentist in Gallup, NM

Timothy L. Ambrose, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1565
Jovito G Sabal, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1565
Dr. Gary Bruce Woodcock, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1560    Fax: 505-722-1563
Dr. Erin Maille Montano, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 802 Us Highway 491, Gallup, NM 87301
Phone: 505-862-5018    
Dr. Dain Charles Hubley, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    
Bo Tran, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    
Dr. Eduardo J Valda, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 107 W Green St, Gallup, NM 87301
Phone: 505-870-6128    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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