Keith J Wilson Dds Pc in Fairfax - General Practice
Keith J Wilson Dds Pc - NPI 1154447589
Keith J Wilson Dds Pc is a General Practice in Fairfax, Virginia. Keith J Wilson Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith J Wilson Dds Pc is 1154447589. The last update date is 2020-08-22.
Keith J Wilson Dds Pc's current location address is 11166 Fairfax Blvd Ste 400, Fairfax, Virginia. You can contact this provider via phone number 7036913015 and fax number 7036913016. The mailing address for Keith J Wilson Dds Pc is 11166 Fairfax Blvd Ste 400, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith J Wilson Dds Pc |
|---|---|
| Address | 11166 Fairfax Blvd Ste 400, Fairfax, Virginia |
| Phone Number | 7036913015 |
| Fax Number | 7036913016 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Wilson Jonathan Keith |
| Credentials | DDS |
| Telephone Number | 7036913015 |
NPI Number Detail
| NPI Number | 1154447589 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11166 Fairfax Blvd Ste 400 |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220305017 |
| Phone Number | 7036913015 |
| Fax Number | 7036913016 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401008681 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Keith J Wilson Dds Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Keith J Wilson Dds Pc has been assigned the NPI (National Provider Identifier) 1154447589. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Keith J Wilson Dds Pc?
The Keith J Wilson Dds Pc is physically situated at 11166 Fairfax Blvd Ste 400, in the city of Fairfax, state of VA, with the postal code 220305017.
What is the area of specialization for Keith J Wilson Dds Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Keith J Wilson Dds Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154447589 to Keith J Wilson Dds Pc?
The Centers for Medicare & Medicaid Services originally issued the 1154447589 to Keith J Wilson Dds Pc on 2007-03-21.
When was the information regarding Keith J Wilson Dds Pc most recently updated?
The details pertaining to the Keith J Wilson Dds Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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