Wilson, David M.

Wilson, David M. is an individual health care provider with primary practice located at 3801 Glenkerry Ct Ste 2 , Portage MI 49024-0711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wilson, David M. can be contacted via phone (269) 323-1527.

Contact Information

Primary practice address
3801 Glenkerry Ct Ste 2 Portage MI 49024-0711
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4301100207 Michigan
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901019878 Michigan

Profile Details

NPI number 1376705038
LBN Legal business name Wilson, David M.
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Oct 20th, 2020 - about 5 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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