MISS RAVEN N. WILSON D.D.S. NPI 1235512427

NPI Information

NPI: 1235512427
Provider Name: MISS RAVEN N. WILSON, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
6222 HULEN BEND BLVD
FORT WORTH, TX
ZIP 76132
Phone: (817) 546-3335
Get Directions

MISS Raven N. Wilson, D.D.S. is a pediatric dentistry dentist in Fort Worth, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MISS Raven N. Wilson, D.D.S. NPI is 1235512427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6222 HULEN BEND BLVD
FORT WORTH, TX
ZIP 76132-803
Phone: (817) 546-3335

The enumeration date for this NPI number is 7/7/2015 and was last updated on 8/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	31866	TEXAS	No
2	1223P0221X	Dentist	Pediatric Dentistry	31866	TEXAS	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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