Timothy A Wilson in Las Vegas - Dentist

Timothy A Wilson - NPI 1366582454

Timothy A Wilson is a Dentist in Las Vegas, Nevada. Timothy A Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy A Wilson is 1366582454. The last update date is 2016-07-18.

Timothy A Wilson's current location address is 169 N Nellis Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7023841010 and fax number 7024388424. The mailing address for Timothy A Wilson is 169 N Nellis Blvd, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy A Wilson
Address 169 N Nellis Blvd, Las Vegas, Nevada
Phone Number 7023841010
Fax Number 7024388424
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1366582454
Provider Enumeration Date 2007-02-07
Last Updated Date 2016-07-18

Provider Mailing Address Detail

Address 169 N Nellis Blvd
City Las Vegas
State Nevada (NV)
Post Code 891105320
Phone Number 7023841010
Fax Number 7024388424

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4522T
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
10052976 NV --
1366582454 NV --
100506669 NV --

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FAQs about Timothy A Wilson

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

The Timothy A Wilson has been issued the NPI (National Provider Identifier) 1366582454 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Timothy A Wilson is physically located?

The Timothy A Wilson is physically situated at the following address: 169 N Nellis Blvd, Las Vegas, NV, 891105320.

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

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

When did Timothy A Wilson receive its 1366582454 assignment?

The Timothy A Wilson was assigned its 1366582454 on 2007-02-07, which is the date when this unique identifier was issued to the organization.

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

The details pertaining to the Timothy A Wilson, including its address, specialty, and other relevant information, were last refreshed on 2016-07-18.

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