Brian Wilson, DDS
NPI 1962882373 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2709 S. I-35 Frontage Road Suite B
Moore, OK 73160 - Phone
- (405) 237-4979
- Organisation at this address
- Dental Depot Of Moore, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-02
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 Oklahoma