Jonathan Adam Wilson, DDS

Dentist · Mansfield, OH

Individual Active NPI

NPI number 1619316866

Practice location

1221 S Trimble Rd Ste C1
Mansfield, OH 44907-2211
Phone
(419) 756-4000

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NPI record

NPI
1619316866
Entity type
Individual (Type 1)
Enumeration date
June 20, 2013
Last updated
September 21, 2022
Certified
September 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30023984 OH

About Dr. Wilson

Jonathan Adam Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1221 S Trimble Rd Ste C1, Mansfield, OH 44907-2211. The NPI number 1619316866 was assigned on June 20, 2013 and the record was last updated on September 21, 2022.

Dr. Wilson lists a license in the registry: #30023984 (OH) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Adam Wilson, DDS?

The NPI number is 1619316866.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (419) 756-4000.

Where is Dr. Wilson located?

1221 S Trimble Rd Ste C1, Mansfield, OH 44907-2211.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 122300000X – Dentist.

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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