| Dan R Wilson Dds Pc | |
|
638 Bryden Ave Lewiston ID 83501-5169 | |
| (208) 743-5032 | |
| Not Available |
| Full Name | Dan R Wilson Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 638 Bryden Ave, Lewiston, Idaho |
| Authorized Official Name and Position | Mercedes Figueroa (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6232893392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan R Wilson Dds Pc 19601 N Black Canyon Hwy # 201 Phoenix AZ 85027-4107 Ph: (623) 289-3392 | Dan R Wilson Dds Pc 638 Bryden Ave Lewiston ID 83501-5169 Ph: (208) 743-5032 |
| NPI Number | 1578304432 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578304432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Oral And Facial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3326 4th St Ste 2, Lewiston, ID 83501 Phone: 208-743-1640 Fax: 208-743-1643 | |
Dentistry By Design Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2517 17th St, Suite A, Lewiston, ID 83501 Phone: 208-746-1373 Fax: 208-746-9855 | |
Perio Docs - Lewiston Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3323 4th St, Lewiston, ID 83501 Phone: 208-743-1114 Fax: 208-743-3029 | |
John J Johnson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3510 12th St, Suite 600, Lewiston, ID 83501 Phone: 208-798-7955 Fax: 208-798-7957 | |
Kent B. Simmons Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3318 4th St, Lewiston, ID 83501 Phone: 208-746-3694 Fax: 208-743-8313 | |
Dr. David Lloyd Wilkinson Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3326 4th St, Suite 5, Lewiston, ID 83501 Phone: 208-746-0479 Fax: 208-798-3000 | |
Yes Today Dentistry Lewiston Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2360 Thain Grade, Lewiston, ID 83501 Phone: 208-717-1966 |