Dr. Loren J Wilson, DMD
Dentist, General Practice in Cambridge, Massachusetts
1619991924- Practice location
- 2331 Massachusetts Avenue, Cambridge, MA 02140
- Phone
- 617-876-8636
- Fax
- 617-661-4894
- Last updated
- September 30, 2015
Loren Jay Wilson is a Dentist, General Practice based in Cambridge, MA. Loren Jay Wilson practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Loren Jay Wilson is 1619991924 and holds a License No. 14418 (MA). The current practice location address for Loren Jay Wilson is 2331 Massachusetts Avenue, Cambridge, MA 02140 and can be reached out via phone at 617-876-8636 and via fax at 617-661-4894.
Provider Profile Details
- NPI Number
- 1619991924
- Provider Name
- Loren Jay Wilson
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2331 Massachusetts Avenue, Cambridge, MA 02140
- Phone Number
- 617-876-8636
- Fax Number
- 617-661-4894
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 27, 2006
- Last Update Date
- September 30, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2331 Massachusetts Avenue
Cambridge, MA 02140 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02140
- Phone Number
- 617-876-8636
- Fax Number
- 617-661-4894
Provider Business Mailing Address Details
- Address
- 10 Kelly Road
Cambridge, MA 02139 - City
- Cambridge
- State
- MA
- Zip
- 02139
- Phone Number
- 617-803-0887
- Fax Number
- 617-661-4894
License Information
- License Number
- 14418
- License State
- MA
- 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 Dr. Loren J Wilson, DMD?
The NPI number of Dr. Loren J Wilson, DMD is 1619991924. It was assigned on July 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Loren J Wilson, DMD?
Dr. Loren J Wilson, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 14418.
Where does Dr. Loren J Wilson, DMD practice?
The practice location is 2331 Massachusetts Avenue, Cambridge, MA 02140. The office can be reached at 617-876-8636 (phone) or 617-661-4894 (fax).
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 1619991924 directly on the NPPES registry website.