Michael Jeremy Wilson in Durham - Orthodontics And Dentofacial Orthopedics
Michael Jeremy Wilson - NPI 1386864528
Michael Jeremy Wilson is a Orthodontics And Dentofacial Orthopedics in Durham, North Carolina. Michael Jeremy Wilson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Michael Jeremy Wilson is 1386864528. The last update date is 2007-07-08.
Michael Jeremy Wilson's current location address is 2900 Croasdaile Dr, Durham, North Carolina. You can contact this provider via phone number 9193837423 and fax number 9193833444. The mailing address for Michael Jeremy Wilson is 2900 Croasdaile Dr, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Jeremy Wilson |
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Address | 2900 Croasdaile Dr, Durham, North Carolina |
Phone Number | 9193837423 |
Fax Number | 9193833444 |
Sole Proprietor | N |
Credentials | DDS PA |
NPI Number Detail
NPI Number | 1386864528 |
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Provider Enumeration Date | 2007-04-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2900 Croasdaile Dr |
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City | Durham |
State | North Carolina (NC) |
Post Code | 277052579 |
Phone Number | 9193837423 |
Fax Number | 9193833444 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 7088 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Michael Jeremy Wilson by the Centers for Medicare & Medicaid Services?
The Michael Jeremy Wilson has been issued the NPI (National Provider Identifier) 1386864528. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Jeremy Wilson located?
The Michael Jeremy Wilson is located at 2900 Croasdaile Dr, Durham, NC 277052579.
What is Michael Jeremy Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Jeremy Wilson's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Michael Jeremy Wilson receive its 1386864528 assignment from the Centers for Medicare & Medicaid Services?
The Michael Jeremy Wilson was assigned its 1386864528 by the Centers for Medicare & Medicaid Services on 2007-04-30.
When was the information pertaining to Michael Jeremy Wilson most recently updated or revised?
The details related to Michael Jeremy Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.