| Craig S. Wilson, D.d.s., Llc | |
|
105 Main St Suite 1 Old Saybrook CT 06475-2301 | |
| (860) 388-9774 | |
| Not Available |
| Full Name | Craig S. Wilson, D.d.s., Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Main St, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Craig Stephen Wilson (OWNER) |
| Authorized Official Contact | 8603889774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig S. Wilson, D.d.s., Llc 105 Main St Suite 1 Old Saybrook CT 06475-2301 Ph: (860) 388-9774 | Craig S. Wilson, D.d.s., Llc 105 Main St Suite 1 Old Saybrook CT 06475-2301 Ph: (860) 388-9774 |
| NPI Number | 1417152786 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417152786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 006836 (Connecticut) | Primary |
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