Individual provider · Type 1 NPI
Jennifer Joann Wilson, DDS
Pediatric Dentistry · Upper Marlboro, MD
NPI number
1316229313
Active
Practice location
5098 Brown Station Rd # 260
Upper Marlboro, MD 20772-9124
Fax (240) 545-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 15073 (MD) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1316229313
Jennifer Joann Wilson, DDS's National Provider Identifier is 1316229313, issued on Sep 15, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Upper Marlboro, MD. The record was last updated on Aug 14, 2023.