Individual provider · Type 1 NPI

Matthew T. Wilson, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Jbsa Lackland, TX

NPI number 1568674380 Active

Practice location

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Call (210) 292-7749 Map

Other practice locations

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 916-5586

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS043984 (PA)
Aerospace Medicine Physician 2083A0100XD0090793 (MD)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS043984 (PA)

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.

335 other providers at this address

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About NPI 1568674380

Matthew T. Wilson, DDS, MD's National Provider Identifier is 1568674380, issued on May 4, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Oct 19, 2026.