Craig S. Wilson, D.d.s., LLC
Dentist, General Practice in Old Saybrook, Connecticut
1417152786- Practice location
- 105 Main St, Suite 1, Old Saybrook, CT 06475-2301
- Phone
- 860-388-9774
- Fax
- —
- Last updated
- August 22, 2020
Craig S. Wilson, D.d.s., LLC is a healthcare organization based in Old Saybrook, CT. Craig S. Wilson, D.d.s., LLC practices in Old Saybrook, CT. The NPI Number for Craig S. Wilson, D.d.s., LLC is 1417152786 and holds a License No. 006836 (CT). The current practice location address for Craig S. Wilson, D.d.s., LLC 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
- 1417152786
- Provider Name
- Craig S. Wilson, D.d.s., LLC
- Provider Entity Type
- Organization
- Address
- 105 Main St, Suite 1, Old Saybrook, CT 06475-2301
- Phone Number
- 860-388-9774
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Craig Stephen Wilson, DDS · Owner · 860-388-9774
- Provider Enumeration Date
- June 18, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Main St
Suite 1
Old Saybrook, CT 06475-2301 - City
- Old Saybrook
- State
- Connecticut
- Zip
- 06475-2301
- Phone Number
- 860-388-9774
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Craig S. Wilson, D.d.s., LLC?
The NPI number of Craig S. Wilson, D.d.s., LLC is 1417152786. It was assigned on June 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Craig S. Wilson, D.d.s., LLC?
Craig S. Wilson, D.d.s., LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 006836.
Where does Craig S. Wilson, D.d.s., LLC 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 1417152786 directly on the NPPES registry website.