Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bernadette L Wilson, DDSMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1861592529

Bernadette L Wilson, DDSMD is an Oral and Maxillofacial Surgery (Dentist) in Green Bay, Wisconsin. Works from 2 locations. Licensed in Montana and Wisconsin.

Licensed in
MT, WI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

430 Main St
Green Bay, WI 54301-5115
Phone: (920) 431-0345
Fax: (920) 431-0567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 E 13th St Ste 101, Whitefish, MT 59937 — (406) 862-5656

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5239 (WI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2235 (MT)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 11198 (MT)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 5239 (WI)

Record details

NPI number1861592529
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDSMD
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESFebruary 6, 2019

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