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David M. Wilson

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

3801 Glenkerry Ct Ste 2
Portage , Michigan 49024-0711

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David M. Wilson

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

3801 Glenkerry Ct Ste 2
Portage , Michigan 49024-0711

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

3801 Glenkerry Ct Ste 2 Portage , Michigan 49024-0711

First Address

  • David M. Wilson
  • 3801 Glenkerry Ct Ste 2
  • Portage, MI
  • Zip : 49024-0711
  • Phone :

Second Address

  • David M. Wilson
  • 3801 Glenkerry Ct Ste 2
  • Portage, MI
  • Zip : 49024-0711
  • Phone : (269) 323-1527

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FAQs


Where did David M. Wilson attend graduate school?

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Where did David M. Wilson do his residency?

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Where did David M. Wilson do his fellowship?

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Is David M. Wilson board certified?

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What type of doctor is David M. Wilson

Oral and Maxillofacial Surgeon

In what state does David M. Wilson practice in?

Michigan

Where is David M. Wilson ’s practice located?

3801 Glenkerry Ct Ste 2 , Portage, Michigan, 49024-0711

What is David M. Wilson ’s gender?

Male

Is David M. Wilson a sole practitioner?

No

Is David M. Wilson accepting new patients?

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What languages does David M. Wilson speak?

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Does David M. Wilson accept insurance?

Yes, David M. Wilson accepts insurance

Does David M. Wilson offers telemedicine?

David M. Wilson has not indicated if he offers telemedicine

What is David M. Wilson ’s professional license number?

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What is David M. Wilson ’s NPI number?

1376705038

Does David M. Wilson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223S0112X Oral and Maxillofacial Surgeon 2901019878 MI
N 204E00000X Oral & Maxillofacial Surgeon 4301100207 MI

National Provider Identifier

NPI 1376705038
Provider Name David M. Wilson
First Address Portage, MI 49024-0711
Second Address Portage, MI 49024-0711
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/06/2008
Last Update Date 20/10/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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