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SPENCER K. WILDE DDS
NPI 1295893196
Dentist - Dentist Anesthesiologist in Mesa, AZ

Active since December 04, 2006
625 W SOUTHERN AVE STE E-145, MESA, AZ 85210(480) 710-8081(866) 814-1886 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spencer K. Wilde Dds NPPES

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

SPENCER K. WILDE DDS (NPI 1295893196) is an individual dentist anesthesiologist in Mesa, Arizona, licensed in Arizona (D5497) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1295893196
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameSPENCER K. WILDECredential: DDS
Location Address625 W SOUTHERN AVE STE E-145Mesa, AZ 85210-5030
Mailing AddressPmb 351, 6890 E. Sunrise Dr. Ste 120Tucson, AZ 85750-0739 · (520) 730-6467 · Fax (520) 529-2938
Phone(480) 710-8081
Fax(866) 814-1886
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 1, 2016
✔ NPI 1295893196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Licenses✔ Licensed in AZ · D5497✔ Licensed in TX · 25894
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
625 W SOUTHERN AVE STE E-145, Mesa, AZ 85210
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Other Identifiers 2

Other884644AZ · Ahcccs Provider Id Dsda
Other863573AZ · Ahcccs Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, DentaQuest Insurance Company-MO.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESERT STATE DENTAL ANESTHESIA, LLC
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 332-5541
DR. MATTHEW RYAN WALL D.D.S.
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (602) 759-2131
BRADLEY L FARR DDS
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 332-0577

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 Spencer Wilde's NPI number?

The NPI number for Spencer Wilde is 1295893196. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Spencer Wilde located?

Spencer Wilde practices at 625 W Southern Ave Ste E-145, Mesa, AZ 85210. The listed phone number is (480) 710-8081.

What is Spencer Wilde's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Spencer Wilde accept?

Health plans from Blue Cross Blue Shield of Arizona and DentaQuest Insurance Company-MO list Spencer Wilde 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 Spencer Wilde was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.