Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERMAINE WILSON
Active Sole ProprietorJERMAINE WILSON is a Dentist healthcare provider located in RIVERHEAD, New York. NPI 1730824947 is currently active in the NPPES registry. Verify at CMS.
Dentist · RIVERHEAD, NY
Registration Details
- NPI Number
- 1730824947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2022 (4.3040255703244 yrs)
- Last Updated
- Sep 21, 2023
- License
-
063526 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1732 OLD COUNTRY RD UNIT DRIVERHEAD, NY, 119013104Browse NY providers · Browse ZIP 11901
- Phone
- 6313816205
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in RIVERHEAD, NY
| Name | Credential | NPI |
|---|---|---|
| DR. CRAIG ROBERT MILLER | DMD | 1184605578 |
| DR. JULES SHTEIERMAN | DDS | 1164517694 |
| DR. JAMES EDWARD HOEG | DDS | 1649503285 |
| DR. FARHAJ MIRZA | D.M.D. | 1174870687 |
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.