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RANDALL M. WILK, MD, DDS, PHD, APMC
NPI 1285849166
Oral & Maxillofacial Surgery in Gretna, LA

Active since May 13, 2007
120 MEADOWCREST ST, #300, GRETNA, LA 70056(504) 362-6135(504) 362-6134 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall M. Wilk, Md, Dds, Phd, Apmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL M. WILK, MD, DDS, PHD, APMC (NPI 1285849166) is a healthcare organization registered as an oral & maxillofacial surgery in Gretna, Louisiana and active in the NPI registry since May 2007. The organization lists Randall M. Wilk, Owner, as its authorized official.

NPPES Registry Identity

NPI1285849166
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameRANDALL M. WILK, MD, DDS, PHD, APMC
Location Address120 MEADOWCREST ST, #300Gretna, LA 70056
Mailing Address120 Meadowcrest St, #300Gretna, LA 70056 · (504) 362-6135 · Fax (504) 362-6134
Phone(504) 362-6135
Fax(504) 362-6134
Organization SubpartNo
Authorized OfficialRandall M. WilkOwner · (504) 362-6135
Enumeration DateMay 13, 2007
Last NPPES UpdateOctober 11, 2013
✔ NPI 1285849166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in LA · 022962
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 4669 (LA)
120 MEADOWCREST ST, #300, Gretna, LA 70056
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Other Identifiers 3

Medicare ID-Type Unspecified5T353LA
Medicare PIN5T353CX80LA
Medicaid1890197LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall M. Wilk, MD, Dds, Phd, Apmc's NPI number?

The NPI number for Randall M. Wilk, MD, Dds, Phd, Apmc is 1285849166. It was assigned to this organization in the NPPES registry on May 13, 2007.

Where is Randall M. Wilk, MD, Dds, Phd, Apmc located?

Randall M. Wilk, MD, Dds, Phd, Apmc is located at 120 Meadowcrest St, #300, Gretna, LA 70056. The listed phone number is (504) 362-6135.

What is Randall M. Wilk, MD, Dds, Phd, Apmc's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does Randall M. Wilk, MD, Dds, Phd, Apmc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Randall M. Wilk, MD, Dds, Phd, Apmc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall M. Wilk, MD, Dds, Phd, Apmc was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.