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Contact Information

DR. SCOTT WILSON DDS PLLC 4
1212 S MARYLAND PKWY
LAS VEGAS, NV89104-1728
 Phone: 725-291-5588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
 

Endodontics

1223E0200X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for DR. SCOTT WILSON DDS PLLC 4

NPI # 1649039793
LBN Legal business name DR. SCOTT WILSON DDS PLLC 4
Authorized official SCOTT WILSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2024
Last updated 03/18/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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