Bernadette L Wilson in Green Bay - Oral And Maxillofacial Surgery
Bernadette L Wilson - NPI 1861592529
Bernadette L Wilson is a Oral And Maxillofacial Surgery in Green Bay, Wisconsin. Bernadette L Wilson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bernadette L Wilson is 1861592529. The last update date is 2019-02-06.
Bernadette L Wilson's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204909046 and fax number 9204055388. The mailing address for Bernadette L Wilson is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bernadette L Wilson |
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Address | 164 N Broadway, Green Bay, Wisconsin |
Phone Number | 9204909046 |
Fax Number | 9204055388 |
Sole Proprietor | N |
Credentials | DDS MD |
NPI Number Detail
NPI Number | 1861592529 |
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Provider Enumeration Date | 2006-09-23 |
Last Updated Date | 2019-02-06 |
Provider Mailing Address Detail
Address | 164 N Broadway |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543032728 |
Phone Number | 9204909046 |
Fax Number | 9204055388 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 2235 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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33761400 | WI | -- |
Post Comment/ Review Below
What is the Bernadette L Wilson's 1861592529?
The Bernadette L Wilson's NPI (National Provider Identifier) Number is 1861592529. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bernadette L Wilson's facilities are situated?
The facilities of Bernadette L Wilson are physically located at the following address: 164 N Broadway, Green Bay, WI, 543032728.
What is Bernadette L Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bernadette L 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 Bernadette L Wilson receive its 1861592529 assignment from the Centers for Medicare & Medicaid Services?
The Bernadette L Wilson was assigned its 1861592529 on 2006-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bernadette L Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bernadette L Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-02-06.
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