Bruce T. Wilson,D.M.D., Psc

LBN: Bruce T. Wilson,D.M.D., Psc
Bruce T. Wilson,D.M.D., Psc is an health care organization with primary practice located at 123 N 19Th St , Middlesboro KY 40965-2865. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Bruce T. Wilson,D.M.D., Psc can be contacted via phone (606) 248-1808, or through Wilson, Bruce Taylor via phone (606) 248-1808.

Contact Information

Primary practice address
123 N 19Th St Middlesboro KY 40965-2865
Phone: (606) 248-1808
Fax: (606) 248-1803
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Bruce Taylor Doctor of Dental Medicine (DMD)
Phone: (606) 248-1808

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5811 Kentucky

Profile Details

NPI number 1396924544
LBN Legal business name Bruce T. Wilson,D.M.D., Psc
DBA Doing business as
Authorized official Wilson, Bruce Taylor Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 24th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396924544 NPPES
Kentucky MEDICAID 64058118

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