Jeremy T Wilson DMD

NPI 1023186095 - Dentist - 122300000X

NPI Details
NPI 1023186095
Gender Male
Enumeration Date 11/30/2006
Last Updated 06/15/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
2301 E LAKE MEAD BLVD
NORTH LAS VEGAS NV, 89030-7137, US
Phone (702) 331-8338
Fax (702) 639-0579
Business Location
526 S TONOPAH DR
STE. 200
LAS VEGAS NV, 89106-4043, US
Phone (702) 291-2031
Fax (702) 774-2811
Toxanomy
Taxonomy Code 122300000X
License State Nevada
License Number 5090
Remove 1023186095 NPI Number
 

According to our database, Dr. Jeremy T Wilson DMD NPI is 1023186095, taxonomy code is 122300000X and license number is 5090, license state is located at Nevada. Jeremy T Wilson DMD physically located at 2301 E Lake Mead Blvd, North Las Vegas NV, 89030-7137. NPI Number Jeremy T Wilson DMD has the Individual type.

Sponsored links

1023186095 NPI number is provided on an as is basis without warranty of any kind. 1023186095 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy T Wilson DMD are for informational purposes only.