Wilson, John Riley
Wilson, John Riley is an individual health care provider with primary practice located at 2133 Pepperrell St , Lackland Afb TX 78236-5313. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Wilson, John Riley can be contacted via phone (210) 292-0123.Contact Information
Primary practice address
2133 Pepperrell St
Lackland Afb TX 78236-5313
Phone: (210) 292-0123
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DS0000010760 | Tennessee |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS0000010760 | Tennessee |
Dental Providers / Dentist | 122300000X | DS0000010760 | Tennessee |
Profile Details
NPI number | 1750868436 |
---|---|
LBN Legal business name | Wilson, John Riley |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2018 |
Last updated | Jul 13th, 2023 - about 2 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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