Brian Michael Wilson, DDS

Dentist · Moore, OK

Individual Active NPI

NPI number 1962882373

Practice location

2709 S. I-35 Frontage Road Suite B
Moore, OK 73160
Phone
(405) 237-4979

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NPI record

NPI
1962882373
Entity type
Individual (Type 1)
Enumeration date
June 2, 2015
Last updated
June 2, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6679 OK

About Dr. Wilson

Brian Michael Wilson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160. The NPI number 1962882373 was assigned on June 2, 2015 and the record was last updated on June 2, 2015.

Dr. Wilson lists a license in the registry: #6679 (OK) 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 Brian Michael Wilson, DDS?

The NPI number is 1962882373.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (405) 237-4979.

Where is Dr. Wilson located?

2709 S. I-35 Frontage Road Suite B, Moore, OK 73160.

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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