Organization
N. STEPHEN WILSON, D.D.S.
Active
Other names
Dental Health & Cosmetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAPOLEON STEPHEN WILSON D.D.S. (OWNER)
21551546205
Entity
Organization
Contact information
Practice address
4635 RICHMOND RD STE 100, CLEVELAND, OH 44128-5938
(216) 514-6205
(216) 514-6207
Mailing address
4635 RICHMOND RD STE 100, CLEVELAND, OH 44128-5938
(216) 514-6205
(216) 514-6207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-015232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-013472
OHIO STATE DENTAL BOARD
OH
01
—
30-015232
OHIO STATE DENTAL BOARD
OH
01
—
30-015634
OHIO STATE DENTAL BOARD
OH
Enumeration date
05/22/2013
Last updated
05/22/2013
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