Wilson, Phillip Duane

Wilson, Phillip Duane is an sole proprietor health care provider with primary practice located at 716 Stevens Ave , Portland ME 04103-2693. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wilson, Phillip Duane can be contacted via phone (207) 283-0171.

Contact Information

Primary practice address
716 Stevens Ave Portland ME 04103-2693
Phone: (207) 283-0171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16752 Texas
Dental Providers / Dentist 122300000X DEN4754 Maine

Profile Details

NPI number 1215144910
LBN Legal business name Wilson, Phillip Duane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Feb 10th, 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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