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ELIZABETH M. WILSON DMD LLC NPI 1730424904


NPI Information

NPI: 1730424904
Provider Name: ELIZABETH M. WILSON DMD LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
217 E MARCY ST
SANTA FE, NM
ZIP 87501
Phone: (505) 988-4333
Get Directions

ELIZABETH M. WILSON DMD LLC is a general practice dentist in Santa Fe, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ELIZABETH M. WILSON DMD LLC NPI is 1730424904. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

217 E MARCY ST
SANTA FE, NM
ZIP 87501-020
Phone: (505) 988-4333

The provider's authorized official is Elizabeth Wilson .
The authorized official title is Owner/dentist and has the following contact phone number (505) 988-4333.

The enumeration date for this NPI number is 11/29/2012 and was last updated on 11/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDD3170NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117334829MEDICAIDNEW MEXICO

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

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