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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN HASTIIN WILSON, DDS

Active Sole Proprietor

DR. RYAN HASTIIN WILSON, DDS is a Endodontics healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1780811984 is currently active in the NPPES registry. Verify at CMS.

Endodontics · ALBUQUERQUE, NM

Registration Details

NPI Number
1780811984
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2009 (17.164514659372 yrs)
Last Updated
Jul 6, 2019
License
DD3162 (NM)
Sole Proprietor
Yes

Practice Information

Address
6810 MENAUL BLVD NE STE B
ALBUQUERQUE, NM, 87110
Browse NM providers · Browse ZIP 87110
Phone
5058721100
Primary Specialty
Endodontics
1223E0200X

Other Endodontics Providers in ALBUQUERQUE, NM

Name Credential NPI
DR. STEPHEN D JENKINS DDS 1336111319
KENNETH ELLIS BRAY DMD 1497728653
CHARLES J GOODIS DDS 1821157041
DR. BRIAN R PAPWORTH DDS MS 1851450175
DR. MICHAEL E. CRABTREE DDS 1598824393
DR. ROBERT STEVEN LASH D.D.S. , P.C. 1508926692
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.