Reynaldo Bennett Wilson in Vallejo - General Practice

Reynaldo Bennett Wilson - NPI 1487788212

Reynaldo Bennett Wilson is a General Practice in Vallejo, California. Reynaldo Bennett Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Reynaldo Bennett Wilson is 1487788212. The last update date is 2007-07-08.

Reynaldo Bennett Wilson's current location address is 1029 Sandhurst Dr, Vallejo, California. You can contact this provider via phone number 7075542645. The mailing address for Reynaldo Bennett Wilson is 1029 Sandhurst Dr, Vallejo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Reynaldo Bennett Wilson
Address 1029 Sandhurst Dr, Vallejo, California
Phone Number 7075542645
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1487788212
Provider Enumeration Date 2007-03-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1029 Sandhurst Dr
City Vallejo
State California (CA)
Post Code 945916881
Phone Number 7075542645
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 33405
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Reynaldo Bennett Wilson

What is the unique identifier code issued to Reynaldo Bennett Wilson by the Centers for Medicare & Medicaid Services?

The Reynaldo Bennett Wilson has been assigned the NPI (National Provider Identifier) 1487788212. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Reynaldo Bennett Wilson is geographically located?

The Reynaldo Bennett Wilson is physically situated at the following location: 1029 Sandhurst Dr, Vallejo, CA, 945916881.

What is the Reynaldo Bennett Wilson's specialty and taxonomy code?

The Reynaldo Bennett Wilson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Reynaldo Bennett Wilson receive the assignment of its 1487788212 from the Centers for Medicare & Medicaid Services?

The Reynaldo Bennett Wilson was issued its 1487788212 by the Centers for Medicare & Medicaid Services on 2007-03-15.

As of what date were the details related to Reynaldo Bennett Wilson most recently updated or revised?

The information pertaining to Reynaldo Bennett Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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