Individual
DR. TIMOTHY TODD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1725 WASHINGTON RD, SUITE 204, PITTSBURGH, PA 15241-1207
(412) 833-1133
(412) 835-5000
Mailing address
1725 WASHINGTON RD, SUITE 204, PITTSBURGH, PA 15241-1207
(412) 833-1133
(412) 835-5000
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS024162-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24162PA
DELTA DENTAL OF PA
PA
01
—
449907
UNITED CONCORDIA
PA
01
—
9178297
DORAL DENTAL INSURANCE
WI
Enumeration date
02/21/2007
Last updated
07/08/2007
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