Wilson, Matthew T
Wilson, Matthew T is an individual health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Aerospace Medicine. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wilson, Matthew T can be contacted via phone (240) 612-3900.Contact Information
Primary practice address
1060 W Perimeter Rd
Jb Andrews MD 20762
Phone: (240) 612-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 16745 | Maryland |
Dental Providers / General Practice | 1223G0001X | 16745 | Maryland |
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | D0090793 | Maryland |
Profile Details
NPI number | 1568674380 |
---|---|
LBN Legal business name | Wilson, Matthew T |
Credentials | DDS, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Apr 17th, 2024 - 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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