| Richard David Wildman, DMD | |
|
210 Park Street, Richard D Wildman, Mccall, ID 83638-2249 | |
| (208) 634-7071 | |
| (208) 634-7071 |
| Full Name | Richard David Wildman |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 210 Park Street, Mccall, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003999749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1375 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard David Wildman, DMD Po Box 2249, Mccall, ID 83638 Ph: (208) 634-7071 | Richard David Wildman, DMD 210 Park Street, Richard D Wildman, Mccall, ID 83638-2249 Ph: (208) 634-7071 |
J Mark Jensen, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 327 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-3370 | |
Dr. Shane Lee Newton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 307 E Park St Ste 103, Mccall, ID 83638 Phone: 208-634-5255 Fax: 208-634-1047 | |
Dr. Brian William Charles, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1003 N 3rd St, Mccall, ID 83638 Phone: 208-634-7653 Fax: 208-634-4568 |