Randall Wilk, MD DDS PHD

Individual Active
NPI 1669578944
Oral & Maxillofacial Surgery (D.M.D.) Gretna, LA

NPI 1669578944 belongs to Randall Wilk, MD DDS PHD, an oral & maxillofacial surgery (d.m.d.) with a practice location in Gretna, LA. The NPI was issued on September 15, 2006, and the record was last updated in NPPES on April 22, 2013. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X 022962 (LA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4669 (LA)

Practice location

120 Meadowcrest St.
Suite 300
Gretna, LA 70056
Phone: (504) 362-6135

Local context

Active NPPES records list 5 providers with oral & maxillofacial surgery (d.m.d.) as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 34 in Louisiana and 2,081 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Randall Mark Wilk
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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