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Contact Information

JEFFREY A WILSON, DDS
101 WEST MAIN STREET
BREMEN, OH43107
 Phone: 740-569-7563
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFFREY A WILSON · (Male)

NPI Number 1780757567
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/17/2006
Last updated 06/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # 3097705
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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