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Dr. John Riley Wilson, DDS
Dentist in Lackland Afb, Texas
NPI 1750868436

John Riley Wilson is a Dentist based in Lackland Afb, TX. John Riley Wilson practices in Lackland Afb, TX and has the professional credentials of DDS. The NPI Number for John Riley Wilson is 1750868436 and holds a License No. DS0000010760 (Texas).

The current practice location address for John Riley Wilson is 2133 Pepperrell St, Lackland Afb, TX and can be reached out via phone at 210-292-0123.

Location: 2133 Pepperrell St, Lackland Afb, TX, 78236-5313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750868436
Provider Name
John Riley Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2133 Pepperrell St, Lackland Afb, TX, 78236-5313
Phone Number
210-292-0123
Fax Number
Provider Enumeration Date
07/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2133 Pepperrell St
City
Lackland Afb
State
Texas
Zip
78236-5313
Phone Number
210-292-0123
Fax Number
person
Provider Business Mailing Address Details
Address
2133 Pepperrell St
City
Lackland Afb
State
Texas
Zip
78236-5313
Phone Number
210-292-0123
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DS0000010760 (Tennessee)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS0000010760 (Tennessee)
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.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
DS0000010760 (Tennessee)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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