Phillip Duane Wilson in Portland - Dentist
Phillip Duane Wilson - NPI 1215144910
Phillip Duane Wilson is a Dentist in Portland, Maine. Phillip Duane Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip Duane Wilson is 1215144910. The last update date is 2020-02-10.
Phillip Duane Wilson's current location address is 716 Stevens Ave, Portland, Maine. You can contact this provider via phone number 2072830171. The mailing address for Phillip Duane Wilson is 716 Stevens Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Duane Wilson |
|---|---|
| Address | 716 Stevens Ave, Portland, Maine |
| Phone Number | 2072830171 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1215144910 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-02-10 |
Provider Mailing Address Detail
| Address | 716 Stevens Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032693 |
| Phone Number | 2072830171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 16752 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Phillip Duane Wilson by the Centers for Medicare & Medicaid Services?
The Phillip Duane Wilson has been issued the NPI (National Provider Identifier) 1215144910 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Phillip Duane Wilson?
The Phillip Duane Wilson is situated at 716 Stevens Ave, in the city of Portland, state of ME, with the zip code 41032693.
What is Phillip Duane Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phillip Duane Wilson is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Phillip Duane Wilson receive its 1215144910 assignment from the Centers for Medicare & Medicaid Services?
The Phillip Duane Wilson was assigned its 1215144910 on 2007-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Phillip Duane Wilson most recently updated?
The details pertaining to the Phillip Duane Wilson, including its address, specialty, and other relevant information, were last refreshed on 2020-02-10.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA