Timothy A Wilson in Las Vegas - Pediatric Dentistry
Timothy A Wilson - NPI 1366582454
Timothy A Wilson is a Pediatric Dentistry in Las Vegas, Nevada. Timothy A Wilson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Timothy A Wilson is 1366582454. The last update date is 2016-07-18.
Timothy A Wilson's current location address is 169 N Nellis Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7023841010 and fax number 7024388424. The mailing address for Timothy A Wilson is 169 N Nellis Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy A Wilson |
|---|---|
| Address | 169 N Nellis Blvd, Las Vegas, Nevada |
| Phone Number | 7023841010 |
| Fax Number | 7024388424 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366582454 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2016-07-18 |
Provider Mailing Address Detail
| Address | 169 N Nellis Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891105320 |
| Phone Number | 7023841010 |
| Fax Number | 7024388424 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | S6-142 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10052976 | NV | -- | |
| 1366582454 | NV | -- | |
| 100506669 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy A Wilson by the Centers for Medicare & Medicaid Services?
The Timothy A Wilson has been issued the NPI (National Provider Identifier) 1366582454 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Timothy A Wilson is physically located?
The Timothy A Wilson is physically situated at the following address: 169 N Nellis Blvd, Las Vegas, NV, 891105320.
What is Timothy A Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy A Wilson is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did Timothy A Wilson receive its 1366582454 assignment?
The Timothy A Wilson was assigned its 1366582454 on 2007-02-07, which is the date when this unique identifier was issued to the organization.
When was the information regarding Timothy A Wilson most recently updated?
The details pertaining to the Timothy A Wilson, including its address, specialty, and other relevant information, were last refreshed on 2016-07-18.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH