Elizabeth M. Wilson Dmd Llc

LBN: Elizabeth M. Wilson Dmd Llc
Elizabeth M. Wilson Dmd Llc is an health care organization with primary practice located at 217 E Marcy St , Santa Fe NM 87501-2020. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Elizabeth M. Wilson Dmd Llc can be contacted via phone (505) 988-4333, or through Wilson, Elizabeth via phone (505) 988-4333.

Contact Information

Primary practice address
217 E Marcy St Santa Fe NM 87501-2020
Phone: (505) 988-4333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Elizabeth Doctor of Dental Medicine (DMD)
Phone: (505) 988-4333

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD3170 New Mexico

Profile Details

NPI number 1730424904
LBN Legal business name Elizabeth M. Wilson Dmd Llc
DBA Doing business as
Authorized official Wilson, Elizabeth Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730424904 NPPES
New Mexico MEDICAID 17334829

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