Individual
THOMAS G WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8515 DOUGLAS AVE, STE 26, DES MOINES, IA 50322
(515) 278-2333
(515) 278-5492
Mailing address
8515 DOUGLAS AVE, STE 26, DES MOINES, IA 50322
(515) 278-2333
(515) 278-5492
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
7261
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7261
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086108
—
IA
Enumeration date
05/15/2006
Last updated
09/11/2025
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