Individual provider · Type 1 NPI
Tyler M. Wilson, DDS
Oral and Maxillofacial Surgery (Dentist) · Santa Maria, CA
NPI number
1578736013
Active
Practice location
2151 S College Dr Ste 104
Santa Maria, CA 93455-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 53295 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Santa Maria
About NPI 1578736013
Tyler M. Wilson, DDS's National Provider Identifier is 1578736013, issued on Apr 4, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Santa Maria, CA. The record was last updated on Jul 16, 2008.