Individual provider · Type 1 NPI

Randal Todd Wilson, DMD

Dentist · Burley, ID

NPI number 1063846459 Active

Practice location

1309 Bennett Ave
Burley, ID 83318-2676

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-4526 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063846459

Randal Todd Wilson, DMD's National Provider Identifier is 1063846459, issued on Aug 21, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Burley, ID. The record was last updated on Mar 17, 2021.