Active NPIIndividual providerSole proprietor

Dr. Craig S Wilson, DDS

Dentist, General Practice in Old Saybrook, Connecticut

NPI Number1083748545
Practice location
105 Main St, Suite 1, Old Saybrook, CT 06475-2301
Fax
—
Last updated
July 8, 2007

Craig Stephen Wilson is a Dentist, General Practice based in Old Saybrook, CT. Craig Stephen Wilson practices in Old Saybrook, CT and has the professional credentials of DDS. The NPI Number for Craig Stephen Wilson is 1083748545 and holds a License No. 006836 (CT). The current practice location address for Craig Stephen Wilson is 105 Main St, Suite 1, Old Saybrook, CT 06475-2301 and can be reached out via phone at 860-388-9774.

Provider Profile Details

NPI Number
1083748545
Provider Name
Craig Stephen Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
105 Main St, Suite 1, Old Saybrook, CT 06475-2301
Phone Number
860-388-9774
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Main St
Suite 1
Old Saybrook, CT 06475-2301
Zip
06475-2301
Phone Number
860-388-9774
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
105 Main St
Suite 1
Old Saybrook, CT 06475-2301
City
Old Saybrook
State
CT
Zip
06475-2301
Phone Number
860-388-9774

License Information

License Number
006836
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Craig S Wilson, DDS?

The NPI number of Dr. Craig S Wilson, DDS is 1083748545. It was assigned on March 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Craig S Wilson, DDS?

Dr. Craig S Wilson, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 006836.

Where does Dr. Craig S Wilson, DDS practice?

The practice location is 105 Main St, Suite 1, Old Saybrook, CT 06475-2301. The office can be reached at 860-388-9774 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083748545 directly on the NPPES registry website.

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