Individual provider · Type 1 NPI

Michael Jeremy Wilson, DDS PA

Orthodontics and Dentofacial Orthopedics Dentistry · Durham, NC

NPI number 1386864528 Active

Practice location

2900 Croasdaile Dr, Suite 3
Durham, NC 27705-2579

Fax (919) 383-3444

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	7088 (NC)

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 1386864528

Michael Jeremy Wilson, DDS PA's National Provider Identifier is 1386864528, issued on Apr 30, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Durham, NC. The record was last updated on Jul 8, 2007.