James Robert Wilder in Olympia - Dentist
James Robert Wilder - NPI 1558451864
James Robert Wilder is a Dentist in Olympia, Washington. James Robert Wilder practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Robert Wilder is 1558451864. The last update date is 2007-07-08.
James Robert Wilder's current location address is 3702 Ensign Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604915990 and fax number 3604915992. The mailing address for James Robert Wilder is 3702 Ensign Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Robert Wilder |
|---|---|
| Address | 3702 Ensign Rd Ne, Olympia, Washington |
| Phone Number | 3604915990 |
| Fax Number | 3604915992 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1558451864 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3702 Ensign Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065054 |
| Phone Number | 3604915990 |
| Fax Number | 3604915992 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00007459 |
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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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What is the unique provider identifier assigned to James Robert Wilder?
The James Robert Wilder has been issued the NPI (National Provider Identifier) 1558451864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the James Robert Wilder located?
The James Robert Wilder is located at 3702 Ensign Rd Ne, Olympia, WA 985065054.
What is the James Robert Wilder's area of specialization and corresponding taxonomy classification?
The James Robert Wilder's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did James Robert Wilder receive its 1558451864 assignment?
The James Robert Wilder was assigned its 1558451864 on 2006-10-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to James Robert Wilder most recently updated or revised?
The information pertaining to James Robert Wilder, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.