| Randal Todd Wilson, DMD | |
|
1309 Bennett Ave, Burley, ID 83318-2676 | |
| (208) 677-5198 | |
| Not Available |
| Full Name | Randal Todd Wilson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1309 Bennett Ave, Burley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063846459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4526 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randal Todd Wilson, DMD 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 734-3312 | Randal Todd Wilson, DMD 1309 Bennett Ave, Burley, ID 83318-2676 Ph: (208) 677-5198 |
Dr. Michael Bryson Stucki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1706 Overland Ave, Burley, ID 83318 Phone: 208-678-2332 | |
Dr. Kevin D. Banner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1010 E Main St, Burley, ID 83318 Phone: 208-678-5597 Fax: 208-678-5663 | |
Dr. Steve Paul Garn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 Park Ave, Suite 2, Burley, ID 83318 Phone: 208-678-8188 Fax: 208-678-3170 | |
Wayne Jack Wright, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2200 Park Ave, Burley, ID 83318 Phone: 208-678-1478 | |
Logan Kay, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-732-7447 | |
Dr. Justin Ward, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2271 Overland Ave, Suite 4, Burley, ID 83318 Phone: 208-678-3265 |