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Owen Dale Wilson, DMD
General Practice Dentistry in Leitchfield, Kentucky
NPI 1619174661

Owen Dale Wilson is a General Practice Dentistry based in Leitchfield, KY and is specialized in General Practice. Owen Dale Wilson practices in Leitchfield, KY and has the professional credentials of DMD. The NPI Number for Owen Dale Wilson is 1619174661 and holds a License No. 5614 (Kentucky).

The current practice location address for Owen Dale Wilson is 1713 Elizabethtown Rd, Leitchfield, KY and can be reached out via phone at 270-259-3003 and via fax at 270-259-5408. You can also correspond with Owen Dale Wilson through the mailing address at 1713 ELIZABETHTOWN RD, LEITCHFIELD, KY - 42754-8128 (mailing address contact number: 270-259-3003).

Location: 1713 Elizabethtown Rd, Leitchfield, KY, 42754-8128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619174661
Provider Name
Owen Dale Wilson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1713 Elizabethtown Rd, Leitchfield, KY, 42754-8128
Phone Number
270-259-3003
Fax Number
270-259-5408
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60056140 05 KY
institution
Provider Business Practice Location Address Details
Address
1713 Elizabethtown Rd
City
Leitchfield
State
Kentucky
Zip
42754-8128
Phone Number
270-259-3003
Fax Number
270-259-5408
person
Provider Business Mailing Address Details
Address
1713 Elizabethtown Rd
City
Leitchfield
State
Kentucky
Zip
42754-8128
Phone Number
270-259-3003
Fax Number
270-259-5408
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5614 (Kentucky)
Definition
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.
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