IndividualActive
Randall Wilk, MD DDS PHD
NPI 1669578944 · Oral & Maxillofacial Surgery (D.M.D.) · Gretna, LA
Provider details
- NPI number
- 1669578944
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD DDS PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4669 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
120 Meadowcrest St.
Suite 300
Gretna, LA 70056
Phone: (504) 362-6135
Fax: (504) 362-6134
Approximate (ZIP-level) locationGet directions
Mailing address
120 Meadowcrest St.
Gretna, LA 70056
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2013-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.