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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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