Individual
DALTON PHILLIP WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
2501 CAPEHART RD, 55 MEDICAL GROUP, OFFUTT A F B, NE 68113-1043
(402) 232-9208
(402) 294-9250
Mailing address
2501 CAPEHART RD, 55 MEDICAL GROUP, OFFUTT A F B, NE 68113-1043
(402) 232-9208
(402) 294-9250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5037
TN
1223P0700X
Prosthodontics
Primary
5037
TN
Other
Enumeration date
02/06/2006
Last updated
09/11/2025
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