Individual provider · Type 1 NPI
David M. Wilson, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Portage, MI
NPI number
1376705038
Active
Practice location
3801 Glenkerry Ct Ste 2
Portage, MI 49024-0711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 4301100207 (MI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901019878 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Portage
- Kevin Donald Morse, DDSOral and Maxillofacial Surgery (Dentist) Portage, MI NPI 1164416194
- Timothy V. Williams, DDSOral and Maxillofacial Surgery (Dentist) Portage, MI NPI 1245291368
- Thomas A. Slack, DDSOral and Maxillofacial Surgery (Dentist) Portage, MI NPI 1669433793
- John R. Gissal, DDSOral and Maxillofacial Surgery (Dentist) Portage, MI NPI 1780645804
- Christian L. Kanar, DDSOral and Maxillofacial Surgery (Dentist) Portage, MI NPI 1952361594
About NPI 1376705038
David M. Wilson, DMD, MD's National Provider Identifier is 1376705038, issued on Jun 25, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portage, MI. The record was last updated on Oct 20, 2020.