Wilson, Charles L

Wilson, Charles L is an individual health care provider with primary practice located at 225 Sheridan Dr , Cape Girardeau MO 63703-5939. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Charles L can be contacted via phone (573) 334-7159.

Contact Information

Primary practice address
225 Sheridan Dr Cape Girardeau MO 63703-5939
Phone: (573) 334-7159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MO11676 Missouri

Profile Details

NPI number 1881690816
LBN Legal business name Wilson, Charles L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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