Organization · Type 2 NPI

Keith J Wilson DDS PC

General Practice Dentistry · Fairfax, VA

NPI number 1154447589 Active

Practice location

11166 Fairfax Blvd Ste 400
Fairfax, VA 22030-5017

Call (703) 691-3015 Map

Fax (703) 691-3016

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401008681 (VA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1154447589

Keith J Wilson DDS PC's National Provider Identifier is 1154447589, issued on Mar 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairfax, VA. The record was last updated on Aug 22, 2020.