Individual provider · Type 1 NPI
Joseph Ross Wilson, DDS
Pediatric Dentistry · Suffolk, VA
NPI number
1437250560
Active
Practice location
2999 Corporate Lane, Suite B-9
Suffolk, VA 23434
Fax (757) 922-8184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 0401412222 (VA) |
| General Practice Dentistry | 1223G0001X | D12307 (MN) |
| Pediatric Dentistry Primary | 1223P0221X | 0401412222 (VA) |
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.
Other pediatric dentistry providers in Suffolk
About NPI 1437250560
Joseph Ross Wilson, DDS's National Provider Identifier is 1437250560, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Suffolk, VA. The record was last updated on Jun 7, 2019.