Craig Stephen Wilson, DDS

General Practice Dentistry · Old Saybrook, CT

Individual Active NPI

NPI number 1083748545

Practice location

105 Main St
Suite 1
Old Saybrook, CT 06475-2301
Phone
(860) 388-9774

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NPI record

NPI
1083748545
Entity type
Individual (Type 1)
Enumeration date
March 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 006836 CT

About Dr. Wilson

Craig Stephen Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 105 Main St, Suite 1, Old Saybrook, CT 06475-2301. The NPI number 1083748545 was assigned on March 15, 2007 and the record was last updated on July 8, 2007.

Dr. Wilson lists a license in the registry: #006836 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Craig Stephen Wilson, DDS?

The NPI number is 1083748545.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (860) 388-9774.

Where is Dr. Wilson located?

105 Main St, Suite 1, Old Saybrook, CT 06475-2301.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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