Benjamin Wilson in Independence - General Practice
Benjamin Wilson - NPI 1790905800
Benjamin Wilson is a General Practice in Independence, Missouri. Benjamin Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Benjamin Wilson is 1790905800. The last update date is 2014-06-05.
Benjamin Wilson's current location address is 1619 W Us Highway 24, Independence, Missouri. You can contact this provider via phone number 8164610055 and fax number 8165039404. The mailing address for Benjamin Wilson is 1619 W Us Highway 24, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Wilson |
|---|---|
| Address | 1619 W Us Highway 24, Independence, Missouri |
| Phone Number | 8164610055 |
| Fax Number | 8165039404 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790905800 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 1619 W Us Highway 24 |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 640502345 |
| Phone Number | 8164610055 |
| Fax Number | 8165039404 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2010033385 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1790905800 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Benjamin Wilson by the Centers for Medicare & Medicaid Services?
The Benjamin Wilson has been issued the NPI (National Provider Identifier) 1790905800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Benjamin Wilson is geographically located?
The Benjamin Wilson is physically situated at the following location: 1619 W Us Highway 24, Independence, MO, 640502345.
What is Benjamin Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Benjamin Wilson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790905800 to Benjamin Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1790905800 to Benjamin Wilson on 2007-04-30.
As of what date was the information pertaining to Benjamin Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Benjamin Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-05.
NPI Number: 1174529739
Address: 1620 Southridge Dr Ste B, Jefferson City, MO