Individual
DR. JEFFREY JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1542 UNION ST, SCHENECTADY, NY 12309
(518) 370-5234
(518) 372-4000
Mailing address
1542 UNION ST, SCHENECTADY, NY 12309
(518) 370-5234
(518) 372-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00585460
—
NY
Enumeration date
04/28/2008
Last updated
04/28/2008
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