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Active NPI 1588630099 Individual Practitioner Male Practitioner

Dr. Jerold C Wilde , DDS MS

Dentist - Periodontics • Pasco, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jerold Wilde, DDS MS is a registered healthcare professional specializing in Dentist - Periodontics in Pasco, WA. Practice services are available at 515 W COURT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

515 W Court St

Pasco, WA 993013737

Telephone 5095472204
Associated Practice Facility / Clinic
🏢 Tri-Cities Community Health Facility NPI 1225145105

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Pasco, WA (195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License WA DE00009195

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bobbi Thompson , RDH

Dental Hygienist

NPI 1003442245

Registered Dental Hygienist

NPI 1013120112

Doctor of Medicine (M.D.)

NPI 1033211024

Doctor of Optometry

Maria Mendoza

Case Manager/Care Coordinator

NPI 1033313952
Zaira Garibaldo

Social Worker

NPI 1033697354
NPI 1073926978

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2011

Registered at 515 W COURT ST, PASCO, WA 993013737 (Tel: 5095472204)

📍
Updated Business Mailing Address November 09, 2011

Registered at PO BOX 1452, PASCO, WA 993011223 (Tel: 5095472204)

👤
Provider Name / Credentials Updated November 09, 2011

Recorded as JEROLD WILDE, DDS MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2011

Dentist (License #DE00009195 in WA)

🟢
Initial NPI Registration & Enumeration February 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588630099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2006
Last Update: November 09, 2011
Sole Proprietor: No

Mailing Address

Po Box 1452

Pasco, WA 993011223

Phone: 5095472204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.