Individual provider · Type 1 NPI

Bernadette L. Wilson, DDS MD

Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI

NPI number 1861592529 Active

Practice location

430 Main St
Green Bay, WI 54301-5115

Call (920) 431-0345 Map

Fax (920) 431-0567

Mailing address

164 N Broadway
Green Bay, WI 54303-2728

Other practice locations

  • 711 E 13th St Ste 101, Whitefish, MT 59937 · (406) 862-5656

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2235 (MT)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X11198 (MT)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X5239 (WI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5239 (WI)

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.

28 other providers at this address

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About NPI 1861592529

Bernadette L. Wilson, DDS MD's National Provider Identifier is 1861592529, issued on Sep 23, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Green Bay, WI. The record was last updated on Feb 6, 2019.