Leonard Wilson, D.M.D.

General Practice Dentistry · Roseburg, OR

Individual Active NPI

NPI number 1639550239

Practice location

1333 W Harvard Ave
Roseburg, OR 97471-2838
Phone
(541) 672-2747

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NPI record

NPI
1639550239
Entity type
Individual (Type 1)
Enumeration date
June 9, 2015
Last updated
June 9, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10244 OR

About Dr. Wilson

Leonard Wilson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1333 W Harvard Ave, Roseburg, OR 97471-2838. The NPI number 1639550239 was assigned on June 9, 2015 and the record was last updated on June 9, 2015.

Dr. Wilson lists a license in the registry: #D10244 (OR) 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 Leonard Wilson, D.M.D.?

The NPI number is 1639550239.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (541) 672-2747.

Where is Dr. Wilson located?

1333 W Harvard Ave, Roseburg, OR 97471-2838.

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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