DR. Casey S Wilson, D.D.S.

NPI #1164833562 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1164833562
Entity Type: Individual
Name: DR. Casey S Wilson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 19, 2014
Last Updated: May 28, 2014

Practice Location

Address: 1931 N 8TH ST
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-2740
Phone: (920) 783-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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