| N. Stephen Wilson, D.d.s. | |
|
4635 Richmond Rd Ste 100 Cleveland OH 44128-5938 | |
| (216) 514-6205 | |
| (216) 514-6207 |
| Full Name | N. Stephen Wilson, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 4635 Richmond Rd Ste 100, Cleveland, Ohio |
| Authorized Official Name and Position | Napoleon Stephen Wilson (OWNER) |
| Authorized Official Contact | 21551546205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N. Stephen Wilson, D.d.s. 4635 Richmond Rd Ste 100 Cleveland OH 44128-5938 Ph: (216) 514-6205 | N. Stephen Wilson, D.d.s. 4635 Richmond Rd Ste 100 Cleveland OH 44128-5938 Ph: (216) 514-6205 |
| NPI Number | 1285071829 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285071829 | NPI | - | NPPES |
| 30-015232 | Other | OH | OHIO STATE DENTAL BOARD |
| 30-013472 | Other | OH | OHIO STATE DENTAL BOARD |
| 30-015634 | Other | OH | OHIO STATE DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-015232 (Ohio) | Primary |
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