Kenneth P Wilson in Bridgeport - General Practice
Kenneth P Wilson - NPI 1518065960
Kenneth P Wilson is a General Practice in Bridgeport, . Kenneth P Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth P Wilson is 1518065960. The last update date is 2007-07-08.
Kenneth P Wilson's current location address is 930 W Main St, Bridgeport, . You can contact this provider via phone number 3048427568 and fax number 3048422202. The mailing address for Kenneth P Wilson is 930 W Main St, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth P Wilson |
|---|---|
| Address | 930 W Main St, Bridgeport, |
| Phone Number | 3048427568 |
| Fax Number | 3048422202 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1518065960 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 930 W Main St |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 263301673 |
| Phone Number | 3048427568 |
| Fax Number | 3048422202 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1816 |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth P Wilson by the Centers for Medicare & Medicaid Services?
The Kenneth P Wilson has been assigned the NPI (National Provider Identifier) 1518065960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kenneth P Wilson is physically located?
The Kenneth P Wilson is physically situated at the following address: 930 W Main St, Bridgeport, WV, 263301673.
What is Kenneth P Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth P Wilson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518065960 to Kenneth P Wilson?
The Kenneth P Wilson received its 1518065960 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the Kenneth P Wilson's information last updated?
The Kenneth P Wilson's information was last updated on 2007-07-08.