Individual provider · Type 1 NPI

Benjamin Wilson, DDS

General Practice Dentistry · Independence, MO

NPI number 1790905800 Active

Practice location

1619 W US Highway 24
Independence, MO 64050-2345

Fax (816) 503-9404

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X8632 (CO)
General Practice Dentistry Primary 1223G0001X2010033385 (MO)
General Practice Dentistry 1223G0001X60918 (KS)

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 1790905800

Benjamin Wilson, DDS's National Provider Identifier is 1790905800, issued on Apr 30, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Independence, MO. The record was last updated on Jun 5, 2014.