NPI 1003999749

Richard David Wildman, DMD

Practitioner Dentist McCall, ID

Practice location

Address: 210 Park Street Richard D Wildman, McCall, ID 83638-2249
Phone: (208) 634-7071
Fax: (208) 634-7071
Mailing address: PO Box 2249, McCall, ID 83638

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D1375 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1003999749
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.