Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILSON TAM
ActiveWILSON TAM is a Pediatric Dentistry healthcare provider located in SANTEE, California. NPI 1467947572 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SANTEE, CA
Registration Details
- NPI Number
- 1467947572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2018 (8.1673063996358 yrs)
- Last Updated
- Apr 4, 2022
- Licenses
-
061312 (NY)103358 (CA)
Practice Information
- Address
-
110 TOWN CENTER PKWY STE ASANTEE, CA, 920715801Browse CA providers · Browse ZIP 92071
- Phone
- 6193962477
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in SANTEE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. HOPE ANN TIEN NGUYEN | D.D.S. | 1891962270 |
| DR. JORDAN N BUZZELL | DDS, MPH | 1427204544 |
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.