OrganizationActive
Randall M. Wilk, MD, DDS, PHD, Apmc
NPI 1285849166 · Oral & Maxillofacial Surgery (D.M.D.) · Gretna, LA
Provider details
- NPI number
- 1285849166
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Randall Wilk, Owner
- License
- 4669 (LA)
Practice location
120 Meadowcrest St, #300
Gretna, LA 70056
Phone: (504) 362-6135
Fax: (504) 362-6134
Mailing address
120 Meadowcrest St, #300
Gretna, LA 70056
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2013-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.