# DR. WILLIAM ORVILLE WILSON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770584401
- **Gender:** Man
- **Credential:** D.D.S., M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 0401414381 | VA | Yes |
| 1223P0700X | Prosthodontics | 3466 | WV | — |

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 12/26/2014
