Charles E Tilson in Albuquerque - Dentist

Charles E Tilson - NPI 1619966314

Charles E Tilson is a Dentist in Albuquerque, New Mexico. Charles E Tilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles E Tilson is 1619966314. The last update date is 2010-11-02.

Charles E Tilson's current location address is 7007 Wyoming Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058211433 and fax number 5058211442. The mailing address for Charles E Tilson is 7007 Wyoming Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles E Tilson
Address 7007 Wyoming Blvd Ne, Albuquerque, New Mexico
Phone Number 5058211433
Fax Number 5058211442
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1619966314
Provider Enumeration Date 2005-10-17
Last Updated Date 2010-11-02

Provider Mailing Address Detail

Address 7007 Wyoming Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871093987
Phone Number 5058211433
Fax Number 5058211442

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DD1611
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
9179005 NM --

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FAQs about Charles E Tilson

What is the unique identification code assigned to Charles E Tilson by the Centers for Medicare & Medicaid Services?

The Charles E Tilson has been issued the NPI (National Provider Identifier) 1619966314. 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 Charles E Tilson is located?

The Charles E Tilson is situated at the following address: 7007 Wyoming Blvd Ne, Albuquerque, NM, 871093987.

What is Charles E Tilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charles E Tilson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Charles E Tilson receive the assignment of its 1619966314 from the Centers for Medicare & Medicaid Services?

The Charles E Tilson was issued its 1619966314 by the Centers for Medicare & Medicaid Services on 2005-10-17.

As of what date was the information regarding Charles E Tilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles E Tilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-02.

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