Carolyn Fern Wilson in Irving - Pediatric Dentistry

Carolyn Fern Wilson - NPI 1720127087

Carolyn Fern Wilson is a Pediatric Dentistry in Irving, Texas. Carolyn Fern Wilson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Carolyn Fern Wilson is 1720127087. The last update date is 2007-07-08.

Carolyn Fern Wilson's current location address is 3219 Macarthur, Irving, Texas. You can contact this provider via phone number 9722527569 and fax number 9722580502. The mailing address for Carolyn Fern Wilson is 3219 Macarthur, Irving, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Fern Wilson
Address 3219 Macarthur, Irving, Texas
Phone Number 9722527569
Fax Number 9722580502
Sole Proprietor N
Credentials DDS MSD

NPI Number Detail

NPI Number 1720127087
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3219 Macarthur
City Irving
State Texas (TX)
Post Code 75062
Phone Number 9722527569
Fax Number 9722580502

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 11548
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.

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FAQs about Carolyn Fern Wilson

What is the unique identifier code issued to Carolyn Fern Wilson by the Centers for Medicare & Medicaid Services?

The Carolyn Fern Wilson has been assigned the NPI (National Provider Identifier) 1720127087. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Carolyn Fern Wilson is physically located?

The Carolyn Fern Wilson is physically situated at the following address: 3219 Macarthur, Irving, TX, 75062.

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

The Carolyn Fern Wilson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Carolyn Fern Wilson receive the assignment of its 1720127087 from the Centers for Medicare & Medicaid Services?

The Carolyn Fern Wilson was issued its 1720127087 by the Centers for Medicare & Medicaid Services on 2007-02-05.

When was the Carolyn Fern Wilson's information last updated?

The Carolyn Fern Wilson's information was last updated on 2007-07-08.

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