Dr Roland D Wilson, DDS is a
Dentist based in Mt Horeb, Wisconsin. Dr Roland D Wilson is licensed to practice in Wisconsin (license number 3827WI) and his current practice location is
215 E Main St, Mt Horeb, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 437-8666.
NPI number for Dr Roland D Wilson is 1629163548 and his current mailing address is 215 E Main St, Mt Horeb, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629163548.
Healthcare Provider's Profile
| Full Name | Dr Roland D Wilson |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 215 E Main St, Mt Horeb, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629163548
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Roland D Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629163548 | NPI | - | NPPES |
| 33499400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 3827WI (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roland D Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roland D Wilson, DDS
215 E Main St,
Mt Horeb, WI 53572
Ph: (608) 437-8666 | Dr Roland D Wilson, DDS
215 E Main St,
Mt Horeb, WI 53572
Ph: (608) 437-8666 |
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