Randal Todd Wilson, DMD
Randal Todd Wilson, DMD is a Dentist in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
1309 Bennett AveBurley, ID 83318-2676
Phone: (208) 677-5198
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D-4526 (ID) |
|---|
Record details
| NPI number | 1063846459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | August 21, 2013 |
| Last updated in NPPES | March 17, 2021 |
| Certification date | March 17, 2021 |
Other providers in Burley
-
Logan Kay, DMD
1309 Bennett Ave, Burley, ID 83318-2676 · (208) 732-7447
-
Kevin D. Banner
1010 E Main St, Burley, ID 83318-2045 · (208) 678-5597
-
Dr. Michael Andrew Larsen, DDS
1361 E 16th St, Burley, ID 83318-2008 · (208) 677-5198
-
Spencer Rice, DMD
515 E 5th St N, Burley, ID 83318 · (208) 679-3000