Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerold C Wilde, DDSMS

Individual provider Periodontics · NPI 1588630099

Jerold C Wilde, DDSMS is a Periodontics in Pasco, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
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Practice location Address checks out

515 W Court St
Pasco, WA 99301-3737
Phone: (509) 547-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DE00009195 (WA)

Record details

NPI number1588630099
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESNovember 9, 2011