| David M Wilson, DMD, MD | |
|
3801 Glenkerry Ct Ste 2, Portage, MI 49024-0711 | |
| (269) 323-1527 | |
| Not Available |
| Full Name | David M Wilson |
|---|---|
| Gender | Male |
| Speciality | Maxillofacial Surgery |
| Experience | 12 Years |
| Location | 3801 Glenkerry Ct Ste 2, Portage, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376705038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901019878 (Michigan) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 4301100207 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalamazoo Oral And Maxillofacial Surgery Pc | 5092994384 | 4 |
| Entity Name | Kalamazoo Oral & Maxillofacial Surgery PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265522262 PECOS PAC ID: 5092994384 Enrollment ID: O20110119000228 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Wilson, DMD, MD 3801 Glenkerry Ct Ste 2, Portage, MI 49024-0711 Ph: Not Available | David M Wilson, DMD, MD 3801 Glenkerry Ct Ste 2, Portage, MI 49024-0711 Ph: (269) 323-1527 |
Dr. Frank Alley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7934 Ashton Woods Dr, Portage, MI 49024 Phone: 269-327-3290 |
Dr. Mary Ann Bukowski, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1416 W Milham Ave, Portage, MI 49024 Phone: 269-381-0564 Fax: 269-381-4965 |
Dr. Marykay W Powell-steele, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8080 Moorsbridge Rd, Suite 101, Portage, MI 49024 Phone: 269-323-3020 Fax: 269-323-0771 |
Dr. Rahaf Kanawati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6505 Constitution Blvd, Portage, MI 49024 Phone: 269-903-0015 |
Dr. Chuandi Wang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5907 Oakland Dr, Portage, MI 49024 Phone: 269-327-4459 |
Ashley Kate Muehleise, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1414 E Centre Ave, Portage, MI 49002 Phone: 269-381-7770 |
Dr. David John Wadas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 636 E Milham Ave, Portage, MI 49002 Phone: 269-323-1802 Fax: 269-323-1940 |