MEDICARE: DR. BENJAMIN WILSON D.M.D.

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	1223G0001X	General Practice Dentistry	8222362-9921	UT

General Provider Information

NPI Number	:	1598010464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN WILSON D.M.D.

Provider Business Mailing Address
First Line	:	1819 W 3500 S
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84119-3457
Country	:	US
Telephone Number	:	801-887-7264
Fax Number	:

Provider Business Practice Location Address
First Line	:	1819 W 3500 S
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84119-3457
Country	:	US
Telephone Number	:	801-887-7264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2012
Last Update Date	:	07/17/2012

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1699764407 — ANH TAI NGUYEN MD
Practice Location Address:

1819 W 3500 S , SUITE 1C
WEST VALLEY CITY, UT
84119-3457

Practice Phone: 801-975-9707
Practice Fax: 801-975-9373

1396811808 — DR. ANH-TUAN TANG NGUYEN D.C.
Practice Location Address:

1819 W 3500 S , SUITE 1A
WEST VALLEY CITY, UT
84119-3457

Practice Phone: 801-864-9532
Practice Fax: 801-887-7717

1588709570 — VALLEY PHARMACY INC
Practice Location Address:

1819 W 3500 S , STE 1G
WEST VALLEY CITY, UT
84119-3457

Practice Phone: 801-978-9655
Practice Fax: 801-978-0178

1841497559 — ANH TAI NGUYEN,MD
Practice Location Address:

1819 W 3500 S STE 1C
WEST VALLEY CITY, UT
84119-3457

Practice Phone: 801-975-9707
Practice Fax:

Directions to “ DR. BENJAMIN WILSON D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.