Loren Wilson, D.D.S

NPI 1407996044 · on the registry since 2007

Practice

Address: 1030 4th St
Eldorado, IL 62930
Phone: (618) 273-9361
Fax: (618) 273-7101
Organisation at this address: Loren G. Wilson D.D.S. P.C.
Southern Illinois Family Dentistry Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois