Wilson, Avery M

Wilson, Avery M is an individual health care provider with primary practice located at 412 Malcolm Dr Ste 100 , Westminster MD 21157-6129. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Wilson, Avery M can be contacted via phone (410) 970-0292.

Contact Information

Primary practice address
412 Malcolm Dr Ste 100 Westminster MD 21157-6129
Phone: (410) 970-0292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02819100 New Jersey
Dental Providers / Periodontics 1223P0300X 22DI02819100 New Jersey
Dental Providers / Periodontics 1223P0300X 17929 Maryland

Profile Details

NPI number 1568084663
LBN Legal business name Wilson, Avery M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated Oct 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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