Donald Lewis Wilson in Novato - Orthodontics And Dentofacial Orthopedics

Donald Lewis Wilson - NPI 1447368972

Donald Lewis Wilson is a Orthodontics And Dentofacial Orthopedics in Novato, California. Donald Lewis Wilson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Donald Lewis Wilson is 1447368972. The last update date is 2007-07-08.

Donald Lewis Wilson's current location address is 7250 Redwood Blvd Ste 107, Novato, California. You can contact this provider via phone number 4158780240 and fax number 4158780242. The mailing address for Donald Lewis Wilson is 7250 Redwood Blvd Ste 107, Novato, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Lewis Wilson
Address 7250 Redwood Blvd Ste 107, Novato, California
Phone Number 4158780240
Fax Number 4158780242
Sole Proprietor Y
Credentials DDS, MSD

NPI Number Detail

NPI Number 1447368972
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7250 Redwood Blvd Ste 107
City Novato
State California (CA)
Post Code 949453269
Phone Number 4158780240
Fax Number 4158780242

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 47822
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Donald Lewis Wilson

What is the unique 10-digit identification code issued to Donald Lewis Wilson by the Centers for Medicare & Medicaid Services?

The Donald Lewis Wilson has been assigned the NPI (National Provider Identifier) 1447368972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Donald Lewis Wilson?

The Donald Lewis Wilson is situated at 7250 Redwood Blvd Ste 107, in the city of Novato, state of CA, with the zip code 949453269.

What is Donald Lewis Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Donald Lewis Wilson's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.

On what date did the Donald Lewis Wilson receive the assignment of its 1447368972 from the Centers for Medicare & Medicaid Services?

The Donald Lewis Wilson was issued its 1447368972 by the Centers for Medicare & Medicaid Services on 2006-08-25.

When was the information related to Donald Lewis Wilson most recently updated or refreshed?

The details pertaining to the Donald Lewis Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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