# CRAIG H. WILSON DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407986102
- **Authorized official:** DR. CRAIG H. WILSON DDS (OWNER)
- **Authorized official phone:** (973) 374-7100

## Contact information

- **Practice address:** 964 SANFORD AVE, IRVINGTON, NJ 07111-1474
- **Practice address phone:** (973) 374-7100
- **Practice address fax:** (973) 374-7117
- **Mailing address:** 964 SANFORD AVE, IRVINGTON, NJ 07111-1474
- **Mailing address phone:** (973) 374-7100
- **Mailing address fax:** (973) 374-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020