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Contact Information

WILSON DENTAL, PC
610 E. DIVISION
ROCKFORD, MI49341
 Phone: 616-866-0164
 Fax: 616-866-1804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WILSON DENTAL, PC

NPI # 1063667079
LBN Legal business name WILSON DENTAL, PC
Authorized official PATTI SILVERMAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2008
Last updated 11/19/2008 - About 18 years ago
Identifiers
MI License # 11866
MI License # 18655
MI License # 18895
MI Medicaid 3047000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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