Bernadette L Wilson in Green Bay - Oral & Maxillofacial Surgery
Bernadette L Wilson - NPI 1861592529
Bernadette L Wilson is a Oral & Maxillofacial Surgery in Green Bay, Wisconsin. Bernadette L Wilson practices all healthcare services and medical treatments related to Oral & 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2019-02-06 |
Provider Mailing Address Detail
| Address | 164 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032728 |
| Phone Number | 9204909046 |
| Fax Number | 9204055388 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 11198 |
|
Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 204E00000X.
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.
NPI Number: 1366446817
Address: 1600 Medical Center Dr, Huntington, WV
NPI Number: 1558366757
Address: 47 Town Street, Norwich, CT
NPI Number: 1194720656
Address: 155 Inverness Dr W, Englewood, CO