WILSON DENTAL PC NPI 1063667079

NPI Information

  • NPI: 1063667079
  • Provider Name: WILSON DENTAL, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 610 E. DIVISION
    ROCKFORD, MI
    ZIP 49341
  • Phone: (616) 866-0164

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NPI Details

WILSON DENTAL, PC is a general practice dentist in Rockford, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WILSON DENTAL, PC NPI is 1063667079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 E. DIVISION
ROCKFORD, MI
ZIP 49341
Phone: (616) 866-0164
Fax: (616) 866-1804

The provider's authorized official is Patti L Silverman .
The authorized official title is Office Manager and has the following contact phone number (616) 866-0164.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice18895MICHIGANNo
21223G0001XDentistGeneral Practice18655MICHIGANNo
31223G0001XDentistGeneral Practice11866MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13047000MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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