ELIZABETH M. WILSON DMD LLC (NPI# 1730424904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730424904 |
| Entity Type | Organization |
| Organization Name | ELIZABETH M. WILSON DMD LLC |
| Practice Address |
217 E Marcy St Santa Fe NM 87501-2020 |
| Practice Telephone | 5059884333 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | ELIZABETH WILSON (OWNER/DENTIST) |
| Authorized Official Telephone | 5059884333 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD3170 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 17334829 | 05 |
| Street Address |
217 E MARCY ST |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802604 | Manpreet Kaur Randhawa | Dentist | 4111 Fm 1764 Rd Ste E, Santa Fe, TX 77517-3854 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 1912492406 | Aurora Dental Nm LLC | Dentist | 3875 Cerrillos Rd, Santa Fe, NM 87507-4145 | 2018-06-27 |
| 1861910283 | Alliance Oral Health Care, P.C. | Dentist | 130 Siringo Rd Ste 201, Santa Fe, NM 87505-5864 | 2017-09-06 |
| 1104278837 | Varun Yadav | Dentist | 1406 Luisa St Ste 1, Santa Fe, NM 87505-4161 | 2016-07-06 |
| 1982062048 | Santa Fe Dentist Office, LLC | Dentist | 5131 Main Street, 101, Santa Fe, NM 87507 | 2016-02-04 |
| 1689950008 | Santa Fe Modern Dentistry and Orthodontics, LLC | Dentist | 3569 Zafarano Boulevard, Santa Fe, NM 87507 | 2011-10-31 |
| 1437440286 | Katarzyna Ujda | Dentist | 2019 Galisteo St Ste L2, Santa Fe, NM 87505-2112 | 2011-04-27 |
| 1962718213 | Laura Comeau Dds PC | Dentist | 2100 Calle De La Vuelta Unit E105, Santa Fe, NM 87505-4819 | 2010-08-25 |
| 1649420928 | Michael Barnett Clayman | Dentist | 3057 Monte Sereno Dr, Santa Fe, NM 87506-0186 | 2008-09-24 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.