Individual provider · Type 1 NPI
John Thornton Wilson, D.M.D
General Practice Dentistry · Boise, ID
NPI number
1386717213
Active
Practice location
10497 W Garverdale Ct, Suite 107
Boise, ID 83704-5407
Fax (208) 323-8538
Mailing address
5716 N Marcliffe Ave
Boise, ID 83704-2058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D-1449 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1386717213
John Thornton Wilson, D.M.D's National Provider Identifier is 1386717213, issued on Nov 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.