Individual provider · Type 1 NPI
Raven N. Wilson, DDS
Pediatric Dentistry · Fort Worth, TX
NPI number
1235512427
Active
Practice location
6222 Hulen Bend Blvd
Fort Worth, TX 76132-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 31866 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 31866 (TX) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Fort Worth
- Jacob Adam Johnson, DDSPediatric Dentistry Fort Worth, TX NPI 1093964900
- Susan Merlene Roberts, DDSPediatric Dentistry Fort Worth, TX NPI 1114023736
- Roshan Vijay Patel, D.M.DPediatric Dentistry Fort Worth, TX NPI 1114333903
- David Andrew Sewell, DDSPediatric Dentistry Fort Worth, TX NPI 1134323371
- Vajahat Yar Khan, BDSPediatric Dentistry Fort Worth, TX NPI 1154463974
- Daniel E. Donohue, DDSPediatric Dentistry Fort Worth, TX NPI 1174611610
- Thien Tam Tran, DMDPediatric Dentistry Fort Worth, TX NPI 1194022327
- Kristy HongPediatric Dentistry Fort Worth, TX NPI 1205242724
About NPI 1235512427
Raven N. Wilson, DDS's National Provider Identifier is 1235512427, issued on Jul 7, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 6, 2020.