David M. Wilson in Portage - Oral And Maxillofacial Surgery
David M. Wilson - NPI 1376705038
David M. Wilson is a Oral And Maxillofacial Surgery in Portage, Michigan. David M. Wilson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David M. Wilson is 1376705038. The last update date is 2020-10-20.
David M. Wilson's current location address is 3801 Glenkerry Ct Ste 2, Portage, Michigan. You can contact this provider via phone number 2693231527. The mailing address for David M. Wilson is 3801 Glenkerry Ct Ste 2, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David M. Wilson |
|---|---|
| Address | 3801 Glenkerry Ct Ste 2, Portage, Michigan |
| Phone Number | 2693231527 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1376705038 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2020-10-20 |
Provider Mailing Address Detail
| Address | 3801 Glenkerry Ct Ste 2 |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490240711 |
| Phone Number | 2693231527 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2901019878 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David M. Wilson by the Centers for Medicare & Medicaid Services?
The David M. Wilson has been issued the NPI (National Provider Identifier) 1376705038 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where David M. Wilson's facilities are geographically located?
The facilities of David M. Wilson are physically situated at the following location: 3801 Glenkerry Ct Ste 2, Portage, MI, 490240711.
What is David M. Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The David M. Wilson's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the David M. Wilson receive its 1376705038 assignment from the Centers for Medicare & Medicaid Services?
The David M. Wilson was assigned its 1376705038 by the Centers for Medicare & Medicaid Services on 2008-06-25.
When was the information regarding David M. Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David M. Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-20.
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