Wilson, Russell Thomas
Wilson, Russell Thomas is an individual health care provider with primary practice located at 602 N Calgary Ct Ste 302 , Post Falls ID 83854-4000. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wilson, Russell Thomas can be contacted via phone (208) 777-0500.Contact Information
Primary practice address
602 N Calgary Ct Ste 302
Post Falls ID 83854-4000
Phone: (208) 777-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-5563-OR | Idaho |
Profile Details
| NPI number | 1154109825 |
|---|---|
| LBN Legal business name | Wilson, Russell Thomas |
| Credentials | DDS, MSD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2023 |
| Last updated | Sep 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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