| Thomas K Wilson Dmd Llc | |
|
520 S Santa Fe Ave 240 Salina KS 67401-4190 | |
| (785) 827-9325 | |
| (785) 827-6252 |
| Full Name | Thomas K Wilson Dmd Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 520 S Santa Fe Ave, Salina, Kansas |
| Authorized Official Name and Position | Thomas K Wilson (PROPRIETOR) |
| Authorized Official Contact | 7858279325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas K Wilson Dmd Llc 520 S Santa Fe Ave 240 Salina KS 67401-4190 Ph: (785) 827-9325 | Thomas K Wilson Dmd Llc 520 S Santa Fe Ave 240 Salina KS 67401-4190 Ph: (785) 827-9325 |
| NPI Number | 1477897155 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 12/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477897155 | NPI | - | NPPES |
| 008775 | Other | KS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5719 (Kansas) | Primary |
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