Wilson, Craig Stephen

Wilson, Craig Stephen is an sole proprietor health care provider with primary practice located at 105 Main St Suite 1, Old Saybrook CT 06475-2301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Craig Stephen can be contacted via phone (860) 388-9774.

Contact Information

Primary practice address
105 Main St Suite 1 Old Saybrook CT 06475-2301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 006836 Connecticut

Profile Details

NPI number 1083748545
LBN Legal business name Wilson, Craig Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
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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