Wilson, Timothy Todd

Wilson, Timothy Todd is an sole proprietor health care provider with primary practice located at 1725 Washington Rd Suite 204, Pittsburgh PA 15241-1207. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Wilson, Timothy Todd can be contacted via phone (412) 833-1133.

Contact Information

Primary practice address
1725 Washington Rd Suite 204 Pittsburgh PA 15241-1207
Phone: (412) 833-1133
Fax: (412) 835-5000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X DS024162-L Pennsylvania

Profile Details

NPI number 1487799847
LBN Legal business name Wilson, Timothy Todd
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487799847 NPPES
Pennsylvania Other 449907 UNITED CONCORDIA
Pennsylvania Other 9178297 UNITED CONCORDIA
Pennsylvania Other 24162PA UNITED CONCORDIA

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