Brian Leroy Wilson, D.D.S.

General Practice Dentistry · Canyon, TX

Individual Active NPI

NPI number 1902011919

Practice location

1801 4TH Ave
Canyon, TX 79015-3853
Phone
(806) 655-1104
Fax
(806) 655-7453

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NPI record

NPI
1902011919
Entity type
Individual (Type 1)
Enumeration date
May 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 20514 TX

About Dr. Wilson

Brian Leroy 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 1801 4TH Ave, Canyon, TX 79015-3853. The NPI number 1902011919 was assigned on May 12, 2007 and the record was last updated on July 8, 2007.

Dr. Wilson lists a license in the registry: #20514 (TX) 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 Brian Leroy Wilson, D.D.S.?

The NPI number is 1902011919.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (806) 655-1104.

Where is Dr. Wilson located?

1801 4TH Ave, Canyon, TX 79015-3853.

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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