Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE TAYLOR WILSON, D.M.D.
Active Sole ProprietorDR. BRUCE TAYLOR WILSON, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in MIDDLESBORO, Kentucky. NPI 1346294063 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MIDDLESBORO, KY
Registration Details
- NPI Number
- 1346294063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2006 (20.282065852376 yrs)
- Last Updated
- Aug 15, 2024
- Licenses
-
5811 (KY)5811 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
705 N 12TH STMIDDLESBORO, KY, 409651987Browse KY providers · Browse ZIP 40965
- Phone
- 6062481808
- Fax
- 8598234137
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
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.