Tyler M. Wilson in Santa Maria - Oral And Maxillofacial Surgery

Tyler M. Wilson - NPI 1578736013

Tyler M. Wilson is a Oral And Maxillofacial Surgery in Santa Maria, California. Tyler M. Wilson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Tyler M. Wilson is 1578736013. The last update date is 2008-07-16.

Tyler M. Wilson's current location address is 2151 S College Dr Ste 104, Santa Maria, California. You can contact this provider via phone number 8059251440. The mailing address for Tyler M. Wilson is 2151 S College Dr Ste 104, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyler M. Wilson
Address 2151 S College Dr Ste 104, Santa Maria, California
Phone Number 8059251440
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1578736013
Provider Enumeration Date 2008-04-04
Last Updated Date 2008-07-16

Provider Mailing Address Detail

Address 2151 S College Dr Ste 104
City Santa Maria
State California (CA)
Post Code 934551304
Phone Number 8059251440
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 53295
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Tyler M. Wilson

What is the unique 10-digit identifier code issued to Tyler M. Wilson by the Centers for Medicare & Medicaid Services?

The Tyler M. Wilson has been assigned the NPI (National Provider Identifier) 1578736013 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Tyler M. Wilson located?

The Tyler M. Wilson is located at 2151 S College Dr Ste 104, Santa Maria, CA 934551304.

What is Tyler M. Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tyler M. Wilson's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578736013 to Tyler M. Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1578736013 to Tyler M. Wilson on 2008-04-04.

When was the information related to Tyler M. Wilson most recently updated or refreshed?

The details pertaining to the Tyler M. Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-16.

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