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Miss Raven N. Wilson, DDS
Pediatric Dentist in Fort Worth, Texas
NPI 1235512427

Raven N. Wilson is a Pediatric Dentist based in Fort Worth, TX and is specialized in Pediatric Dentistry. Raven N. Wilson practices in Fort Worth, TX and has the professional credentials of DDS. The NPI Number for Raven N. Wilson is 1235512427 and holds a License No. 31866 (Texas).

The current practice location address for Raven N. Wilson is 6222 Hulen Bend Blvd, Fort Worth, TX and can be reached out via phone at 817-546-3335.

Location: 6222 Hulen Bend Blvd, Fort Worth, TX, 76132-2803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235512427
Provider Name
Raven N. Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
6222 Hulen Bend Blvd, Fort Worth, TX, 76132-2803
Phone Number
817-546-3335
Fax Number
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6222 Hulen Bend Blvd
City
Fort Worth
State
Texas
Zip
76132-2803
Phone Number
817-546-3335
Fax Number
person
Provider Business Mailing Address Details
Address
6222 Hulen Bend Blvd
City
Fort Worth
State
Texas
Zip
76132-2803
Phone Number
817-546-3335
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
31866 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
31866 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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