Gregg A Wilson in Boise - Dentist

Gregg A Wilson - NPI 1164516225

Gregg A Wilson is a Dentist in Boise, Idaho. Gregg A Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregg A Wilson is 1164516225. The last update date is 2007-07-08.

Gregg A Wilson's current location address is 10497 Garverdale Court, Boise, Idaho. You can contact this provider via phone number 2083755720 and fax number 2083238538. The mailing address for Gregg A Wilson is 10497 Garverdale Court, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregg A Wilson
Address 10497 Garverdale Court, Boise, Idaho
Phone Number 2083755720
Fax Number 2083238538
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1164516225
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10497 Garverdale Court
City Boise
State Idaho (ID)
Post Code 83704
Phone Number 2083755720
Fax Number 2083238538

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D3535
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 Gregg A Wilson

What is the unique 10-digit identification code assigned to Gregg A Wilson by the Centers for Medicare & Medicaid Services?

The Gregg A Wilson has been issued the NPI (National Provider Identifier) 1164516225, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gregg A Wilson is geographically located?

The Gregg A Wilson is physically situated at the following location: 10497 Garverdale Court, Boise, ID, 83704.

What is the Gregg A Wilson's area of specialization and corresponding taxonomy classification?

The Gregg A Wilson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When did Gregg A Wilson receive its 1164516225 assignment?

The Gregg A Wilson was assigned its 1164516225 on 2006-10-03, which is the date when this unique identifier was issued to the organization.

When was the information regarding Gregg A Wilson most recently updated?

The details pertaining to the Gregg A Wilson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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