James G Wilson Dmd Pa in Tampa - Periodontics
James G Wilson Dmd Pa - NPI 1679564405
James G Wilson Dmd Pa is a Periodontics in Tampa, Florida. James G Wilson Dmd Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for James G Wilson Dmd Pa is 1679564405. The last update date is 2020-08-22.
James G Wilson Dmd Pa's current location address is 1810 S Macdill Ave, Tampa, Florida. You can contact this provider via phone number 8132510770 and fax number 8132510771. The mailing address for James G Wilson Dmd Pa is 1810 S Macdill Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James G Wilson Dmd Pa |
|---|---|
| Address | 1810 S Macdill Ave, Tampa, Florida |
| Phone Number | 8132510770 |
| Fax Number | 8132510771 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson G James |
| Credentials | DMD |
| Telephone Number | 8132510770 |
NPI Number Detail
| NPI Number | 1679564405 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1810 S Macdill Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336295901 |
| Phone Number | 8132510770 |
| Fax Number | 8132510771 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN13537 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique provider identifier assigned to James G Wilson Dmd Pa?
The James G Wilson Dmd Pa has been issued the NPI (National Provider Identifier) 1679564405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where James G Wilson Dmd Pa is physically located?
The James G Wilson Dmd Pa is situated at the following address: 1810 S Macdill Ave, Tampa, FL 336295901.
What is James G Wilson Dmd Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James G Wilson Dmd Pa is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679564405 to James G Wilson Dmd Pa?
The Centers for Medicare & Medicaid Services originally issued the 1679564405 to James G Wilson Dmd Pa on 2005-11-01.
As of what date were the James G Wilson Dmd Pa's details last updated?
The information pertaining to the James G Wilson Dmd Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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