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Troy L Wilson, DDS,PC
General Practice Dentistry in Raton, New Mexico
NPI 1669461117

Troy L Wilson is a General Practice Dentistry based in Raton, NM and is specialized in General Practice. Troy L Wilson practices in Raton, NM and has the professional credentials of DDS,PC. The NPI Number for Troy L Wilson is 1669461117 and holds a License No. NM1640 (New Mexico).

The current practice location address for Troy L Wilson is 112 Grant Ave, Raton, NM and can be reached out via phone at 505-445-8370 and via fax at 505-445-3369.

Location: 112 Grant Ave, Raton, NM, 87740-0981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669461117
Provider Name
Troy L Wilson
Credential
DDS,PC
Provider Entity Type
Individual
Gender
Male
Address
112 Grant Ave, Raton, NM, 87740-0981
Phone Number
505-445-8370
Fax Number
505-445-3369
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88989 05 NM
institution
Provider Business Practice Location Address Details
Address
112 Grant Ave
City
Raton
State
New Mexico
Zip
87740-2526
Phone Number
505-445-8370
Fax Number
505-445-3369
person
Provider Business Mailing Address Details
Address
112 Grant Ave
City
Raton
State
New Mexico
Zip
87740-2526
Phone Number
505-445-8370
Fax Number
505-445-3369
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
NM1640 (New Mexico)
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.
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