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
Fax: (317) 957-2520
Website:

Health care specialties

SpecialtyCodeLicense #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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