Dr. David Earl Wilson
Endodontist
3335 S Holmes Ave
Idaho Falls
, Idaho 83404-7981
Dr. David Earl Wilson
Endodontist
3335 S Holmes Ave
Idaho Falls
, Idaho 83404-7981
(541) 345-8037
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. David Earl Wilson
- 2145 Elkhorn Dr
- Eugene, OR
- Zip : 97408-1204
- Fax : (541) 345-8037
- Phone : (541) 653-9188
Second Address
- Dr. David Earl Wilson
- 3335 S Holmes Ave
- Idaho Falls, ID
- Zip : 83404-7981
- Phone : (208) 524-3770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | D8541 | OR |
National Provider Identifier
| NPI | 1124231261 |
|---|---|
| Provider Name | Dr. David Earl Wilson |
| First Address | Eugene, OR 97408-1204 |
| Second Address | Idaho Falls, ID 83404-7981 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 12/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.