Wilson, Joseph A.

Wilson, Joseph A. is an sole proprietor health care provider with primary practice located at 4760 N Butler Ave Suite A, Farmington NM 87401-0816. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Wilson, Joseph A. can be contacted via phone (702) 469-3590.

Contact Information

Primary practice address
4760 N Butler Ave Suite A Farmington NM 87401-0816
Phone: (702) 469-3590
Fax: (702) 469-3590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD3399 New Mexico
Dental Providers / Dentist 122300000X 49293029922 Utah
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DD3399 New Mexico
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 49293029922 Utah

Profile Details

NPI number 1548561038
LBN Legal business name Wilson, Joseph A.
Credentials DMD, MSD, LLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Feb 7th, 2011 - about 14 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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