MRS. CHERYL MARIE WILDMAN


Address: 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503
Phone: 5804424428

MRS. CHERYL MARIE WILDMAN (NPI# 1295152262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295152262
Entity Type Individual
Full Name MRS. CHERYL MARIE WILDMAN
Credential CDA
Practice Address 2640 Miner Road
Weeks Dental Clinic
Ft Sill
OK 73503
Mailing Address 5014 Se Redbud Pl
Lawton
OK 73501-8399
Practice Telephone 5804424428
Mailing Telephone 3303212616
Enumeration Date 2014-03-27
Last Update Date 2014-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant Dental Providers

Office Location

Street Address 2640 MINER ROAD
WEEKS DENTAL CLINIC
City FT SILL
State OK
Zip Code 73503

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824446 Alex Boyd Dentist U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 2020-06-01
1588145031 Dustin Davis Dentist Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 2018-08-23
1578086492 Austin Kent Brown Dentist Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 2017-07-23
1083155998 Michael Gagliano Physician Assistant 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 2017-03-10
1619428885 Kristi Ann Putnam Registered Nurse Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 2016-10-21
1003265901 Lucy Muller Registered Nurse 4301 Wilson Road, Ft Sill, OK 73503 2016-06-10
1356740146 Gregory B Kiene Dentist 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 2014-08-18
1245664143 Tina L Gray Dentist 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 2013-08-27
1720410533 Katherine Loi Dentist 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 2013-08-02
1649539081 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Bldg. 1716, Gruber Road, Fort Sill, OK 73503 2012-05-04
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962410795 Carol Fay Mortiere Dental Assistant 7205 Sw Drakestone Blvd, Lawton, OK 73505-7467 2006-08-04
1194271973 David Swann Dental Assistant 652 Hamilton Road, Fort Sill, OK 73503 2016-08-31
1750732509 Brandon Rippy Dental Assistant 652 Hamilton Rd, Fort Sill, OK 73503 2016-06-23
1144671926 Roxanna Lynn Cohn Dental Assistant 652 Hamilton Road, Fort Sill, OK 73503 2016-06-23
1407206493 Melissa Marshall Dental Assistant 652 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 2016-06-21
1316397300 Michelle Mcdermott Dental Assistant 652 Hamilton Rd., Usa Dental Activity, Fort Sill, OK 73503 2016-06-21
1316397599 Dianne Holly Ambrosek Dental Assistant 652 Hamilton Road, Fort Sill, OK 73503 2016-06-17
1942650635 Jennifer Rose Fasolino Dental Assistant 652 Hamilton Rd., Ft. Sill, OK 73503 2016-06-14
1023487485 Yvette Saldana Vasquez Dental Assistant 4913 W Reno Ave, Oklahoma City, OK 73127-6339 2015-09-16
1851760227 Christina Diana Cook Dental Assistant 4913 W Reno Ave, Oklahoma City, OK 73127-6339 2015-09-16
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Competitor

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City FT SILL
Zip Code 73503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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