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

BENJAMIN WILSON, DDS

Active

BENJAMIN WILSON, DDS is a General Dentistry healthcare provider located in INDEPENDENCE, Missouri. NPI 1790905800 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · INDEPENDENCE, MO

Registration Details

NPI Number
1790905800
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2007 (19.107633744517 yrs)
Last Updated
Jun 5, 2014
Licenses
8632 (CO)
2010033385 (MO)
60918 (KS)

Practice Information

Address
1619 W US HIGHWAY 24
INDEPENDENCE, MO, 640502345
Browse MO providers · Browse ZIP 64050
Phone
8164610055
Fax
8165039404
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in INDEPENDENCE, MO

Name Credential NPI
DR. KENNETH JOE WEINAND D.D.S. 1417950296
DR. SCOTT ALAN ROBERSON DDS 1922003482
DR. RICHARD GEORGE MARK DDS 1467459891
DR. PETER M GRAY DDS 1861494585
DR. MICHAEL L COTTRELL DDS 1972595114
DR. EDWIN M MYERS DDS 1679546154
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.