DR. DAVID WILDER (NPI# 1821441478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821441478 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILDER |
| Credential | DMD |
| Practice Address |
3237 Sixes Rd Canton GA 30114-7965 |
| Practice Telephone | 6788809775 |
| Mailing Telephone | 6788809775 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN015214 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366478323 | David Wilder | Social Worker | 919 3rd St Ste 101, Langley, WA 98260-9229 | 2006-06-23 |
| 1073568887 | David Michael Wilder | Preventive Medicine | 11150 Fairfax Blvd, Suite 550, Fairfax, VA 22030-5066 | 2006-05-23 |
| 1760711154 | David Wilder | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2009-12-14 |
| 1225004682 | David William Wilder | Specialist | 200 Lothrop St, Room 3950 Chp Cmt, Pittsburgh, PA 15213-2546 | 2006-02-27 |
| Street Address |
3237 SIXES RD |
| City | CANTON |
| State | GA |
| Zip Code | 30114-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| 1326342098 | Eva Diane Martin | Counselor | 2920 Marietta Highway, Suite 146, Canton, GA 30114 | 2011-01-10 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576503 | Duc-tri Van Vu | Dentist | 7770 Hagadorn Ln, Canton, MI 48187-5340 | 2020-07-27 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1578188470 | Kevin Truong | Dentist | 5 Westdale Rd, Canton, MA 02021-1328 | 2020-06-16 |
| 1699330449 | Nivine Dughayli | Dentist | 42126 Woodcreek Ln, Canton, MI 48188-2615 | 2019-05-07 |
| 1215442017 | Lindsay Marie Foreman | Dentist | 1425 Riverstone Pkwy Unit 200, Canton, GA 30114-5611 | 2017-12-04 |
| 1245760040 | Anupama Sangadala | Dentist | 5958 N Canton Center Rd Ste 400, Canton, MI 48187 | 2017-06-14 |
| 1578012381 | Vaishaliben Patel | Dentist | 465 Torrington Dr W, Canton, MI 48188-6285 | 2016-09-22 |
| 1720430390 | Baxinder Kaur Samrao | Dentist | 46837 Wareham, Canton, MI 48187-4674 | 2016-07-07 |
| 1326409186 | Brian L. Amison, Dds, LLC | Dentist | 3684 Dressler Rd Nw, Suite A, Canton, OH 44718-2781 | 2016-03-08 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| Find all providers in CANTON | ||||
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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.