Michael K. Wilson in Fair Oaks - Dentist

Michael K. Wilson - NPI 1700079688

Michael K. Wilson is a Dentist in Fair Oaks, California. Michael K. Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael K. Wilson is 1700079688. The last update date is 2007-08-23.

Michael K. Wilson's current location address is 11121 Fair Oaks Blvd, Fair Oaks, California. You can contact this provider via phone number 9169616810 and fax number 9169616445. The mailing address for Michael K. Wilson is 11121 Fair Oaks Blvd, Fair Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael K. Wilson
Address 11121 Fair Oaks Blvd, Fair Oaks, California
Phone Number 9169616810
Fax Number 9169616445
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1700079688
Provider Enumeration Date 2007-08-23
Last Updated Date 2007-08-23

Provider Mailing Address Detail

Address 11121 Fair Oaks Blvd
City Fair Oaks
State California (CA)
Post Code 956285136
Phone Number 9169616810
Fax Number 9169616445

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 29527
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Michael K. Wilson

What is the Michael K. Wilson's 1700079688?

The Michael K. Wilson's NPI (National Provider Identifier) Number is 1700079688. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael K. Wilson's facilities are geographically located?

The facilities of Michael K. Wilson are physically situated at the following location: 11121 Fair Oaks Blvd, Fair Oaks, CA, 956285136.

What is Michael K. Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael K. Wilson is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1700079688 to Michael K. Wilson?

The Michael K. Wilson received its 1700079688 assignment from the Centers for Medicare & Medicaid Services on 2007-08-23.

As of what date were the Michael K. Wilson's details last updated?

The information pertaining to the Michael K. Wilson, including its address, specialty, and other details, was most recently updated on 2007-08-23.

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