Jeremy T Wilson in North Las Vegas - Dentist
Jeremy T Wilson - NPI 1023186095
Jeremy T Wilson is a Dentist in North Las Vegas, Nevada. Jeremy T Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeremy T Wilson is 1023186095. The last update date is 2016-06-15.
Jeremy T Wilson's current location address is 2301 E Lake Mead Blvd, North Las Vegas, Nevada. You can contact this provider via phone number 7023318338 and fax number 7026390579. The mailing address for Jeremy T Wilson is 2301 E Lake Mead Blvd, North Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy T Wilson |
|---|---|
| Address | 2301 E Lake Mead Blvd, North Las Vegas, Nevada |
| Phone Number | 7023318338 |
| Fax Number | 7026390579 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1023186095 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2016-06-15 |
Provider Mailing Address Detail
| Address | 2301 E Lake Mead Blvd |
|---|---|
| City | North Las Vegas |
| State | Nevada (NV) |
| Post Code | 890307137 |
| Phone Number | 7023318338 |
| Fax Number | 7026390579 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5090 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1023186095 | NV | -- | |
| 100510344 | NV | -- |
Post Comment/ Review Below
What is the Jeremy T Wilson's 1023186095?
The Jeremy T Wilson's NPI (National Provider Identifier) Number is 1023186095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeremy T Wilson's facilities are situated?
The facilities of Jeremy T Wilson are physically located at the following address: 2301 E Lake Mead Blvd, North Las Vegas, NV, 890307137.
What is Jeremy T 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 Jeremy T Wilson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Jeremy T Wilson's 1023186095 issued?
The Jeremy T Wilson's 1023186095 was issued on 2006-11-30.
As of what date were the Jeremy T Wilson's details last updated?
The information pertaining to the Jeremy T Wilson, including its address, specialty, and other details, was most recently updated on 2016-06-15.
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