Individual provider · Type 1 NPI

John Russell Wilson, DDS

General Practice Dentistry · Rock Springs, WY

NPI number 1205048089 Active

Practice location

2441 Foothill Blvd, Suite 1171B
Rock Springs, WY 82901-5659

Call (307) 382-5902 Map

Mailing address

325 College Ln
Rock Springs, WY 82901-4591

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X888 (WY)

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 1205048089

John Russell Wilson, DDS's National Provider Identifier is 1205048089, issued on May 4, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rock Springs, WY. The record was last updated on Jul 8, 2007.