NPI Index

DR. JAKE WILDING, D.D.S

Dentist - Prosthodontics

Active Individual
NPI: 1376975680

Practice Address

US ARMY DENTAL HEALTH ACTIVITY
36000 SHOEMAKER LANE, SUITE 1051
Fort Cavazos, TX 76544

Phone: (254) 287-3105

Specialties

Specialty Code Primary License
Dentist 122300000X No 8726975-9922 (UT)
Dentist - Prosthodontics 1223P0700X Yes 8726975-9922 (UT)
Dentist - Oral and Maxillofacial Surgery 1223S0112X No 39234 (TX)

Frequently Asked Questions

NPI 1376975680 is the National Provider Identifier for DR. JAKE WILDING, D.D.S, a Dentist - Prosthodontics provider located in Fort Cavazos, TX. This NPI was enumerated on August 9, 2013.
DR. JAKE WILDING, D.D.S practices at US ARMY DENTAL HEALTH ACTIVITY, 36000 SHOEMAKER LANE, SUITE 1051, Fort Cavazos, TX 76544.

Quick Facts

NPI
1376975680
Type
Individual
Enumerated
Aug 9, 2013
Last Updated
Sep 23, 2025

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