Individual provider · Type 1 NPI

Paul Wilson, D.M.D

Dental Anesthesiology · Huntsville, AL

NPI number 1710345160 Active

Practice location

4032 Balmoral Dr SW
Huntsville, AL 35801-6402

Mailing address

108 Meadowglade Ln
Madison, AL 35758-6851

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XD-0007020-C (AL)
Dental Anesthesiology 1223D0004X00203968 (CO)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

3 other providers at this address

About NPI 1710345160

Paul Wilson, D.M.D's National Provider Identifier is 1710345160, issued on Jan 31, 2016. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Huntsville, AL. The record was last updated on Sep 19, 2022.