Amy Lee Wilson in Trinidad - Dentist

Amy Lee Wilson - NPI 1730254939

Amy Lee Wilson is a Dentist in Trinidad, Colorado. Amy Lee Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Amy Lee Wilson is 1730254939. The last update date is 2008-12-22.

Amy Lee Wilson's current location address is 417 University St Ste 1, Trinidad, Colorado. You can contact this provider via phone number 7198467387 and fax number 7198466297. The mailing address for Amy Lee Wilson is 417 University St Ste 1, Trinidad, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Lee Wilson
Address 417 University St Ste 1, Trinidad, Colorado
Phone Number 7198467387
Fax Number 7198466297
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1730254939
Provider Enumeration Date 2006-11-22
Last Updated Date 2008-12-22

Provider Mailing Address Detail

Address 417 University St Ste 1
City Trinidad
State Colorado (CO)
Post Code 810822560
Phone Number 7198467387
Fax Number 7198466297

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7109
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7109 CO LICENSE #

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FAQs about Amy Lee Wilson

What is the unique identification code assigned to Amy Lee Wilson by the Centers for Medicare & Medicaid Services?

The Amy Lee Wilson has been issued the NPI (National Provider Identifier) 1730254939. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Amy Lee Wilson is located?

The Amy Lee Wilson is situated at the following address: 417 University St Ste 1, Trinidad, CO, 810822560.

What is Amy Lee Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Amy Lee Wilson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did Amy Lee Wilson receive its 1730254939 assignment from the Centers for Medicare & Medicaid Services?

The Amy Lee Wilson was assigned its 1730254939 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Amy Lee Wilson most recently updated or revised?

The details related to Amy Lee Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-22.

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