Douglas C Wilson in Yakima - Oral And Maxillofacial Surgery
Douglas C Wilson - NPI 1811071483
Douglas C Wilson is a Oral And Maxillofacial Surgery in Yakima, Washington. Douglas C Wilson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Douglas C Wilson is 1811071483. The last update date is 2007-07-08.
Douglas C Wilson's current location address is 4207 Tieton Drive, Yakima, Washington. You can contact this provider via phone number 5099658911 and fax number 5099656143. The mailing address for Douglas C Wilson is 4207 Tieton Drive, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas C Wilson |
|---|---|
| Address | 4207 Tieton Drive, Yakima, Washington |
| Phone Number | 5099658911 |
| Fax Number | 5099656143 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811071483 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4207 Tieton Drive |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989083347 |
| Phone Number | 5099658911 |
| Fax Number | 5099656143 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4818 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5504303 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Douglas C Wilson by the Centers for Medicare & Medicaid Services?
The Douglas C Wilson has been issued the NPI (National Provider Identifier) 1811071483 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Douglas C Wilson is physically located?
The Douglas C Wilson is situated at the following address: 4207 Tieton Drive, Yakima, WA 989083347.
What is the Douglas C Wilson's specialty and taxonomy code?
The Douglas C Wilson's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
When did the Douglas C Wilson receive its 1811071483?
The Douglas C Wilson was issued its 1811071483 on 2006-10-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Douglas C Wilson's details last updated?
The information pertaining to the Douglas C Wilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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