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

PHILLIP DUANE WILSON, D.D.S.

Active Sole Proprietor

PHILLIP DUANE WILSON, D.D.S. is a Dentist healthcare provider located in PORTLAND, Maine. NPI 1215144910 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORTLAND, ME

Registration Details

NPI Number
1215144910
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2007 (19.235696195274 yrs)
Last Updated
Feb 10, 2020
Licenses
16752 (TX)
DEN4754 (ME)
Sole Proprietor
Yes

Practice Information

Address
716 STEVENS AVE
PORTLAND, ME, 041032693
Browse ME providers · Browse ZIP 04103
Phone
2072830171
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in PORTLAND, ME

Name Credential NPI
DR. WILLIAM THADDEUS BENSON DMD 1184614778
DR. JUAN MANUEL BUGUENO DDS 1730150525
DR. MICHELLE RENEE VERRIER-DAVIS D.M.D. 1124073192
JOEL STEVEN DOYON DDS 1609822634
CATALINA Y ATIENZA DMD 1851338214
DR. CHARLES ANTHONY ISELBORN DDS 1437198397
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.