Loren G. Wilson, D.D.S.

General Practice Dentistry · Eldorado, IL

Individual Active NPI

NPI number 1407996044

Practice location

1030 4TH St
Eldorado, IL 62930-1702
Phone
(618) 273-9361
Fax
(618) 273-7101

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NPI record

NPI
1407996044
Entity type
Individual (Type 1)
Enumeration date
February 6, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

670 Bixler Rd
Eldorado, IL 62930-3786
Phone
(618) 273-9684

About Dr. Wilson

Loren G. Wilson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1030 4TH St, Eldorado, IL 62930-1702. The NPI number 1407996044 was assigned on February 6, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Loren G. Wilson, D.D.S.?

The NPI number is 1407996044.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (618) 273-9361.

Where is Dr. Wilson located?

1030 4TH St, Eldorado, IL 62930-1702.

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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