# HOWARD E. WILT, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376604017
- **Authorized official:** DR. HOWARD EMERY WILT D.D.S. (DENTIST)
- **Authorized official phone:** (480) 838-5422

## Contact information

- **Practice address:** 1455 E GUADALUPE RD, SUITE 2, TEMPE, AZ 85283-3951
- **Practice address phone:** (480) 838-5422
- **Practice address fax:** (480) 838-3794
- **Mailing address:** 1455 E. GUADALUPE RD, SUITE 2, TEMPE, AZ 85283-3951
- **Mailing address phone:** (480) 838-5422
- **Mailing address fax:** (480) 838-3794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1590 | AZ | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1223G0001X | DENTIST GENERAL PRACTICE | AZ |