Dr. Scott Wilson DDS Pllc 4

NPI #1649039793 in Las Vegas, Nevada

Provider Information

NPI Number: 1649039793
Entity Type: Organization
Organization Name: Dr. Scott Wilson DDS Pllc 4
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 18, 2024
Last Updated: Mar 18, 2024

Practice Location

Address: 1212 S MARYLAND PKWY
City: Las Vegas
State: Nevada
ZIP Code: 89104-1728
Phone: (725) 291-5588

Authorized Official

Name: SCOTT WILSON
Title: OWNER
Phone: (725) 291-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - General Practice — General Practice	1223G0001X	Primary

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