Wilson, Corey Wayne

Wilson, Corey Wayne is an individual health care provider with primary practice located at 112 West Barden Street , Roxboro NC 27573. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Corey Wayne can be contacted via phone (336) 599-2689.

Contact Information

Primary practice address
112 West Barden Street Roxboro NC 27573
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8258 North Carolina

Profile Details

NPI number 1578622288
LBN Legal business name Wilson, Corey Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 18 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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