Douglas W Wilson in Madison - Pediatric Dentistry
Douglas W Wilson - NPI 1164533345
Douglas W Wilson is a Pediatric Dentistry in Madison, Wisconsin. Douglas W Wilson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Douglas W Wilson is 1164533345. The last update date is 2007-07-08.
Douglas W Wilson's current location address is 100 River Place, Madison, Wisconsin. You can contact this provider via phone number 6082226160 and fax number 6082226248. The mailing address for Douglas W Wilson is 100 River Place, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas W Wilson |
|---|---|
| Address | 100 River Place, Madison, Wisconsin |
| Phone Number | 6082226160 |
| Fax Number | 6082226248 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164533345 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 River Place |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53716 |
| Phone Number | 6082226160 |
| Fax Number | 6082226248 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 1695G |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33376600 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas W Wilson?
The Douglas W Wilson has been issued the NPI (National Provider Identifier) 1164533345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Douglas W Wilson located?
The Douglas W Wilson is located at 100 River Place, Madison, WI 53716.
What is Douglas W Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas W Wilson is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164533345 to Douglas W Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1164533345 to Douglas W Wilson on 2006-08-31.
When was the Douglas W Wilson's information last updated?
The Douglas W Wilson's information was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC