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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH J WILSON DDS PC

Active Organization

KEITH J WILSON DDS PC is a General Dentistry organization located in FAIRFAX, Virginia. NPI 1154447589 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FAIRFAX, VA

Registration Details

NPI Number
1154447589
Provider Type
Organization
NPI Issued
Mar 21, 2007 (19.410928712029 yrs)
Last Updated
Aug 22, 2020
License
0401008681 (VA)

Practice Information

Address
11166 FAIRFAX BLVD STE 400
FAIRFAX, VA, 220305017
Browse VA providers · Browse ZIP 22030
Phone
7036913015
Fax
7036913016
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.