SearchMissouriGeneral Practice Dentistry

Benjamin Wilson, DDS

NPI 1790905800 · on the registry since 2007

Practice

Address
1619 W Us Highway 24
Independence, MO 64050
Phone
(816) 461-0055
Fax
(816) 503-9404
Organisation at this address
Abc Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Dentist
General Practice Dentistry
Licence states on file
CO, MO, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-05

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 Missouri