Kory J Wilson in Spokane Valley - General Practice
Kory J Wilson - NPI 1053503995
Kory J Wilson is a General Practice in Spokane Valley, Washington. Kory J Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kory J Wilson is 1053503995. The last update date is 2007-08-14.
Kory J Wilson's current location address is 12121 E Broadway Ave Bldg Iii, Spokane Valley, Washington. You can contact this provider via phone number 5099283363. The mailing address for Kory J Wilson is 12121 E Broadway Ave Bldg Iii, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kory J Wilson |
|---|---|
| Address | 12121 E Broadway Ave Bldg Iii, Spokane Valley, Washington |
| Phone Number | 5099283363 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053503995 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 12121 E Broadway Ave Bldg Iii |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992064972 |
| Phone Number | 5099283363 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00011053 |
|
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. |
|
Post Comment/ Review Below
What is the Kory J Wilson's 1053503995?
The Kory J Wilson's NPI (National Provider Identifier) Number is 1053503995. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kory J Wilson located?
The Kory J Wilson is located at 12121 E Broadway Ave Bldg Iii, Spokane Valley, WA 992064972.
What is the Kory J Wilson's specialty and taxonomy code?
The Kory J Wilson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Kory J Wilson receive its 1053503995 assignment from the Centers for Medicare & Medicaid Services?
The Kory J Wilson was assigned its 1053503995 by the Centers for Medicare & Medicaid Services on 2007-08-14.
As of what date were the Kory J Wilson's details last updated?
The information pertaining to the Kory J Wilson, including its address, specialty, and other details, was most recently updated on 2007-08-14.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA