Roland D Wilson is a Dentist in Mt Horeb, Wisconsin. Roland D Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roland D Wilson is 1629163548. The last update date is 2007-07-08.
Roland D Wilson's current location address is 215 E Main St, Mt Horeb, Wisconsin. You can contact this provider via phone number 6084378666 and fax number 6084373605. The mailing address for Roland D Wilson is 215 E Main St, Mt Horeb, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roland D Wilson |
|---|---|
| Address | 215 E Main St, Mt Horeb, Wisconsin |
| Phone Number | 6084378666 |
| Fax Number | 6084373605 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629163548 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 E Main St |
|---|---|
| City | Mt Horeb |
| State | Wisconsin (WI) |
| Post Code | 53572 |
| Phone Number | 6084378666 |
| Fax Number | 6084373605 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3827WI |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33499400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Roland D Wilson by the Centers for Medicare & Medicaid Services?
The Roland D Wilson has been assigned the NPI (National Provider Identifier) 1629163548 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Roland D Wilson's physical address?
The Roland D Wilson is physically located at 215 E Main St, in the city of Mt Horeb, WI, with the postal code 53572.
What is the Roland D Wilson's area of specialization and corresponding taxonomy classification?
The Roland D Wilson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629163548 to Roland D Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1629163548 to Roland D Wilson on 2006-10-04.
As of what date were the details related to Roland D Wilson most recently updated or revised?
The information pertaining to Roland D Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.