Individual provider · Type 1 NPI

Dustin C. Wilson, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Jefferson City, MO

NPI number 1346521028 Active

Practice location

748 W Stadium Blvd, Suite 102
Jefferson City, MO 65109-4752

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2009013246 (MO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1346521028

Dustin C. Wilson, DDS, MS's National Provider Identifier is 1346521028, issued on Sep 8, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jefferson City, MO. The record was last updated on Nov 18, 2016.