Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDAL TODD WILSON, DMD
ActiveRANDAL TODD WILSON, DMD is a Dentist healthcare provider located in BURLEY, Idaho. NPI 1063846459 is currently active in the NPPES registry. Verify at CMS.
Dentist · BURLEY, ID
Registration Details
- NPI Number
- 1063846459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2013 (12.960615487902 yrs)
- Last Updated
- Mar 17, 2021
- License
-
D-4526 (ID)
Practice Information
- Address
-
1309 BENNETT AVEBURLEY, ID, 833182676Browse ID providers · Browse ZIP 83318
- Phone
- 2086775198
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BURLEY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES BUCHANAN DREW | DDS | 1346473550 |
| CHAD BODILY | — | 1366857161 |
| LOGAN KAY | DMD | 1316322167 |
| SPENCER RICE | DMD | 1508504440 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.