Jack L Wilson in Sioux Falls - Orthodontics And Dentofacial Orthopedics
Jack L Wilson - NPI 1497949929
Jack L Wilson is a Orthodontics And Dentofacial Orthopedics in Sioux Falls, South Dakota. Jack L Wilson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jack L Wilson is 1497949929. The last update date is 2012-03-06.
Jack L Wilson's current location address is 1721 S Cleveland Ave, Sioux Falls, South Dakota. You can contact this provider via phone number 6059789000 and fax number 6059789009. The mailing address for Jack L Wilson is 1721 S Cleveland Ave, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Wilson |
|---|---|
| Address | 1721 S Cleveland Ave, Sioux Falls, South Dakota |
| Phone Number | 6059789000 |
| Fax Number | 6059789009 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1497949929 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2012-03-06 |
Provider Mailing Address Detail
| Address | 1721 S Cleveland Ave |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571035501 |
| Phone Number | 6059789000 |
| Fax Number | 6059789009 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | M470 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack L Wilson by the Centers for Medicare & Medicaid Services?
The Jack L Wilson has been issued the NPI (National Provider Identifier) 1497949929, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack L Wilson is located?
The Jack L Wilson is situated at the following address: 1721 S Cleveland Ave, Sioux Falls, SD, 571035501.
What is the area of specialization for Jack L Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack L Wilson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
When was the Jack L Wilson's 1497949929 issued?
The Jack L Wilson's 1497949929 was issued on 2007-08-28.
As of what date were the details related to Jack L Wilson most recently updated or revised?
The information pertaining to Jack L Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-06.
NPI Number: 1982607784
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