| Wilson & Fiquett, D.m.d., P.c. | |
|
110 23rd St Nw Fort Payne AL 35967-3671 | |
| (256) 845-0765 | |
| (256) 845-9895 |
| Full Name | Wilson & Fiquett, D.m.d., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 110 23rd St Nw, Fort Payne, Alabama |
| Authorized Official Name and Position | Mark Clinton Wilson (PRESIDENT) |
| Authorized Official Contact | 2568450765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson & Fiquett, D.m.d., P.c. 110 23rd St Nw Fort Payne AL 35967-3671 Ph: (256) 845-0765 | Wilson & Fiquett, D.m.d., P.c. 110 23rd St Nw Fort Payne AL 35967-3671 Ph: (256) 845-0765 |
| NPI Number | 1336239086 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375860547 |
|---|---|
| Medicare Enrollment ID | O20150327000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336239086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Mark Clinton Wilson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316037039 PECOS PAC ID: 6800113077 Enrollment ID: I20150327000575 |
| Provider Name | Timothy Lee Fiquett |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346330065 PECOS PAC ID: 5092032268 Enrollment ID: I20150327000801 |
| Provider Name | Ashley Mechay Rush Gray |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598251423 PECOS PAC ID: 6002153772 Enrollment ID: I20190204001775 |
| Provider Name | James Nathan Gray |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891280913 PECOS PAC ID: 7113266404 Enrollment ID: I20190304002516 |
| Provider Name | Megha Amin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497444228 PECOS PAC ID: 8921461690 Enrollment ID: I20230829000050 |
Anthony M Vizzinia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 4th St Sw, Fort Payne, AL 35967 Phone: 256-845-7300 Fax: 256-845-7392 | |
General Dentistry And Same Day Denture Clinic,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Briarwood Ave Sw, Fort Payne, AL 35967 Phone: 256-845-3050 Fax: 256-845-3057 | |
Affordable Dentures & Implants - Fort Payne, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Briarwood Ave Sw, Fort Payne, AL 35967 Phone: 256-845-3050 |