Ann L Wilson in Port St Lucie - Orthodontics And Dentofacial Orthopedics

Ann L Wilson - NPI 1376759613

Ann L Wilson is a Orthodontics And Dentofacial Orthopedics in Port St Lucie, Florida. Ann L Wilson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ann L Wilson is 1376759613. The last update date is 2007-07-08.

Ann L Wilson's current location address is 671 Se Port St Lucie Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7728788426. The mailing address for Ann L Wilson is 671 Se Port St Lucie Blvd, Port St Lucie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Ann L Wilson
Address 671 Se Port St Lucie Blvd, Port St Lucie, Florida
Phone Number 7728788426
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1376759613
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 671 Se Port St Lucie Blvd
City Port St Lucie
State Florida (FL)
Post Code 349845141
Phone Number 7728788426
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 8020
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Ann L Wilson

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

The Ann L Wilson has been assigned the NPI (National Provider Identifier) 1376759613 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Ann L Wilson?

The Ann L Wilson is physically situated at 671 Se Port St Lucie Blvd, in the city of Port St Lucie, state of FL, with the postal code 349845141.

What is Ann L Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ann L Wilson is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.

On what date was the 1376759613 assigned to Ann L Wilson?

The Ann L Wilson was issued its 1376759613 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Ann L Wilson most recently updated or revised?

The details related to Ann L Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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