Wilson, Dustin C

Wilson, Dustin C is an individual health care provider with primary practice located at 748 W Stadium Blvd Suite 102, Jefferson City MO 65109-4752. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wilson, Dustin C can be contacted via phone (573) 634-5122.

Contact Information

Primary practice address
748 W Stadium Blvd Suite 102 Jefferson City MO 65109-4752
Phone: (573) 634-5122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2009013246 Missouri

Profile Details

NPI number 1346521028
LBN Legal business name Wilson, Dustin C
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Nov 18th, 2016 - about 10 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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