Michael Bruce Wilson in Fulton - Dentist
Michael Bruce Wilson - NPI 1336150754
Michael Bruce Wilson is a Dentist in Fulton, Missouri. Michael Bruce Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Bruce Wilson is 1336150754. The last update date is 2007-07-08.
Michael Bruce Wilson's current location address is 600 E 5th St, Fulton, Missouri. You can contact this provider via phone number 5735924100 and fax number 5735923023. The mailing address for Michael Bruce Wilson is 600 E 5th St, Fulton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Bruce Wilson |
|---|---|
| Address | 600 E 5th St, Fulton, Missouri |
| Phone Number | 5735924100 |
| Fax Number | 5735923023 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336150754 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 E 5th St |
|---|---|
| City | Fulton |
| State | Missouri (MO) |
| Post Code | 652511753 |
| Phone Number | 5735924100 |
| Fax Number | 5735923023 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14306 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Michael Bruce Wilson by the Centers for Medicare & Medicaid Services?
The Michael Bruce Wilson has been issued the NPI (National Provider Identifier) 1336150754. This 10-digit code 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 Michael Bruce Wilson is geographically located?
The Michael Bruce Wilson is physically situated at the following location: 600 E 5Th St, Fulton, MO, 652511753.
What is the Michael Bruce Wilson's specialty and taxonomy code?
The Michael Bruce Wilson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1336150754 assigned to Michael Bruce Wilson?
The Michael Bruce Wilson was issued its 1336150754 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michael Bruce Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Bruce Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1598760647
Address: 4631 N Congress Ave Ste 101, West Palm Beach, FL