# WILSON DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chenango Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972781375
- **Authorized official:** DR. MICHAEL PATRICK WILSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (917) 880-1617

## Contact information

- **Practice address:** 295 CHENANGO ST, BINGHAMTON, NY 13901-2312
- **Practice address phone:** (917) 880-1617
- **Mailing address:** 295 CHENANGO ST, BINGHAMTON, NY 13901-2312
- **Mailing address phone:** (917) 880-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 052924 | NY | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 02/07/2008