DR. MICHELLE UY WILD (NPI# 1689778086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689778086 |
Entity Type | Individual |
Full Name | DR. MICHELLE UY WILD |
Credential | DMD |
Practice Address |
Cmr 402 Landstuhl Dental Ativity Apo AE 09108 |
Practice Telephone | 063134064446 |
Mailing Telephone | 063134064446 |
Enumeration Date | 2006-09-08 |
Last Update Date | 2016-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
59596 | CA | Dental Providers |
Street Address |
CMR 402 LANDSTUHL DENTAL ATIVITY |
City | APO |
State | AE |
Zip Code | 09108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104826171 | Emily Evans Mueller | Social Worker | Cmr 402, Apo, AE 09180 | 2005-07-29 |
1053979021 | Julia E Del Valle | Advanced Practice Midwife | Cmr 402, Apo, AE 09180 | 2019-06-04 |
1053863282 | Prachanda Khadka | Nurse Practitioner | Cmr 402, Landstuhl Regional Medical Center, Apo, AE 09180-0000 | 2016-11-04 |
1194272203 | Ldentac | Dental Laboratory | Cmr 402, Apo, AE 09227 | 2016-09-07 |
1922467802 | Rachel Hannum-grinstead | Physical Therapist | Cmr 402, Apo, AE 09180 | 2016-02-19 |
1659761013 | Nichole Poe | Physical Therapist | Cmr 402, Apo, AE 09180 | 2015-01-23 |
1790192524 | Ryan Connor Smith | Dentist | Cmr 402, Apo, AE 09180 | 2014-07-14 |
1255694022 | Amanda Leigh John | Physician Assistant | Cmr 402, Apo, AE 09180-3310 | 2012-06-18 |
1831463496 | James R Hartline | Emergency Medicine | Cmr 402, Apo, AE 09180 | 2012-02-29 |
1265704126 | Landstuhl Regional Medical Center | Clinic/Center | Cmr 402, Sleep Laboratory (pulmonary), Apo, AE 09180 | 2012-02-07 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558347690 | Hekyung Lee Jung | Dentist | 618th Dental Co(as)/ Korea Dentac; Unit 15660, Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2005-12-21 |
1811971583 | Laura Anne Aeschlimann | Dentist | 18 Dental Squadron/sgd/unit 5270, Apo, AP 96368-5270 | 2005-12-06 |
1285959353 | Chad T Eardley | Dentist | Cmr 427, Box 1120, Apo, AE 09630 | 2010-04-01 |
1528254513 | Suzana M Gjekaj | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2007-09-24 |
1235187162 | Norman William Ott Jr. | Dentist | Cmr 402, Landstuhl Dental Activity Credentials Office, Apo, AE 09180 | 2006-05-04 |
1629056213 | Amy Ruth Aston I | Dentist | 86 Mdg, Unit 3215, Apo, AE 09094-3215 | 2006-01-04 |
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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.