Wilson Orthodontics
LBN: David G Wilson Dmd Llc
Wilson Orthodontics is an health care organization with primary practice located at 1372 N Susquehanna Trl Ste 140 , Selinsgrove PA 17870-8973. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty.
David G Wilson Dmd Llc can be contacted via phone (570) 743-8119, or through Wilson, David G via phone (570) 850-8119.
Contact Information
Primary practice address
1372 N Susquehanna Trl Ste 140
Selinsgrove PA 17870-8973
Phone: (570) 743-8119
Fax: (570) 743-2009
Website:
Authorized official contact:
Name: Wilson, David G Doctor of Dental Medicine (DMD)
Phone: (570) 850-8119
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS019605L | Pennsylvania |
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1154773489 |
|---|---|
| LBN Legal business name | David G Wilson Dmd Llc |
| DBA Doing business as | Wilson Orthodontics |
| Authorized official | Wilson, David G Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Oct 20th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154773489 | NPPES |
| Pennsylvania | Other | 7556450001 | MEDICARE DME PTAN NUMBER |
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