Wilson, Corey J
Wilson, Corey J is an individual health care provider with primary practice located at 1522 W Morris St , Indianapolis IN 46221-1629. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Wilson, Corey J can be contacted via phone (317) 957-2500.Contact Information
Primary practice address
1522 W Morris St
Indianapolis IN 46221-1629
Phone: (317) 957-2500
Fax: (317) 957-2520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12012788A | Indiana |
| Dental Providers / General Practice | 1223G0001X | 12012788A | Indiana |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12012788A | Indiana |
Profile Details
| NPI number | 1598287617 |
|---|---|
| LBN Legal business name | Wilson, Corey J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2017 |
| Last updated | Jun 4th, 2024 - about 2 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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