Wilson, Thomas G

Wilson, Thomas G is an individual health care provider with primary practice located at 8515 Douglas Ave Ste 26, Des Moines IA 50322. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is his primary health care specialty. Wilson, Thomas G can be contacted via phone (515) 278-2333.

Contact Information

Primary practice address
8515 Douglas Ave Ste 26 Des Moines IA 50322
Phone: (515) 278-2333
Fax: (515) 278-5492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7261 Iowa
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 7261 Iowa

Profile Details

NPI number 1699726414
LBN Legal business name Wilson, Thomas G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699726414 NPPES
Iowa MEDICAID 1086108

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