Richard Wilson, DDS
NPI 1104042761 · on the registry since 2007
Practice
- Address
- 123 Weeminuche Ave
Ignacio, CO 81137 - Phone
- (970) 563-4581
- Fax
- (970) 563-4581
- Organisation at this address
- Southern Ute Indian Tribe
Southern Colorado Ute Service UnitInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado