Sharon Wildes, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

1001614-016 Issued in WI

Practice address

Milwaukee Vamc Dental Clinic
5000 National Ave
Milwaukee, WI 53295-0001

Phone

(414) 384-2000

Fax

(414) 389-4162

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215020128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 W WILBUR AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532201351",
            "telephone_number": "414-384-2000",
            "fax_number": "414-389-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILWAUKEE VAMC DENTAL CLINIC",
            "address_2": "5000 NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532950001",
            "telephone_number": "414-384-2000",
            "fax_number": "414-389-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDES",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1001614-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellicia Wilder, LPC-IT, SAC-IT
• Mary Deloris Wilder, RN
• Shanika J Wilder
• Tamiko Wilder
• Micah Wildes, MD
• Noah Allen Wiles
• Sarah M Wiles, CCC-SLP
• Hannah Lauren Wilhelm
• Tiffany Wilhelm
• Louise Wilhite, PTA

• Dental Hygienist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.