MEDICARE: IDEALPRESSINGDEZIGNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1508729229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEALPRESSINGDEZIGNS

Provider Business Mailing Address
First Line	:	3260 SHAFTESBURY LN
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-6947
Country	:	US
Telephone Number	:	407-233-6172
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 SHAFTESBURY LN
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-6947
Country	:	US
Telephone Number	:	407-233-6172
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN WILEY
Credential	:
Telephone Number	:	407-233-6172

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “IDEALPRESSINGDEZIGNS ” Practice Location

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