RICHARD L WILSON DDS – NPI #1669548319
Clinic/Center

RICHARD L WILSON DDS is an AHC clinic located in DURANGO, CO. NPPES has assigned the NPI number 1669548319 to RICHARD L WILSON DDS on November 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RICHARD L WILSON DDS” is a dba name, the actual legal business name for this organization is WILSON FAMILY DENTISTRY PC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICHARD L WILSON DDS below.

NPI Profile for
WILSON FAMILY DENTISTRY PC

NPI Number
1669548319
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILSON FAMILY DENTISTRY PC
Doing Business As (dba): RICHARD L WILSON DDS
Primary location
102 HALF 18TH ST
DURANGO, CO 81301
Phone: (970) 247-5565 Fax: (970) 247-8988
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD WILSON
DENTIST
Phone: (970) 247-5565
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CO 7355

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.