| Mr Dan R Wilson, DDS | |
|
813 1/2 Columbia Street, 813 1/2 Columbia #99, Pomeroy, WA 99347 | |
| (509) 834-3495 | |
| (509) 843-3496 |
| Full Name | Mr Dan R Wilson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 813 1/2 Columbia Street, Pomeroy, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346351525 | NPI | - | NPPES |
| 2074241 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5974 (Washington) | Secondary |
| 1223G0001X | Dentist - General Practice | D1862 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dan R Wilson, DDS Po Box 99, Pomeroy, WA 99347-0099 Ph: (509) 843-3495 | Mr Dan R Wilson, DDS 813 1/2 Columbia Street, 813 1/2 Columbia #99, Pomeroy, WA 99347 Ph: (509) 834-3495 |
Dr. Lawrence Scott Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 813 Columbia St, Pomeroy, WA 99347 Phone: 509-843-3495 Fax: 509-843-3496 |