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

DAVID M. WILSON, DMD, MD

Active

DAVID M. WILSON, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in PORTAGE, Michigan. NPI 1376705038 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PORTAGE, MI

Registration Details

NPI Number
1376705038
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2008 (18.096694463671 yrs)
Last Updated
Oct 20, 2020
Licenses
4301100207 (MI)
2901019878 (MI)

Practice Information

Address
3801 GLENKERRY CT STE 2
PORTAGE, MI, 490240711
Browse MI providers · Browse ZIP 49024
Phone
2693231527
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in PORTAGE, MI

Name Credential NPI
DR. KEVIN DONALD MORSE DDS 1164416194
DR. CHRISTIAN L KANAR DDS 1952361594
DR. TIMOTHY V WILLIAMS DDS 1245291368
DR. JOHN R GISSAL DDS 1780645804
DR. THOMAS A SLACK DDS 1669433793
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.