Individual provider · Type 1 NPI

Richard Smith Wilson Jr., DMD

General Practice Dentistry · Philadelphia, PA

NPI number 1366534208 Active

Practice location

2401 Pennsylvania Ave, Suite 1A8
Philadelphia, PA 19130-3010

Fax (215) 765-7334

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS025826L (PA)

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 1366534208

Richard Smith Wilson Jr., DMD's National Provider Identifier is 1366534208, issued on Sep 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.