David M. Wilson, DMD, MD
David M. Wilson, DMD, MD is a Maxillofacial Surgery in Portage, Michigan. Graduated from University of Michigan Medical School in 2014, 12 years ago. Practices with Kalamazoo Oral and Maxillofacial Surgery PC, a 4-clinician group. Licensed in Michigan.
- Years since qualifying
- 12
- Trained at
- University of Michigan Medical School
- Licensed in
- MI
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3801 Glenkerry Ct Ste 2Portage, MI 49024-0711
Phone: (269) 323-1527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 2901019878 (MI) |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence 4301100207 (MI) |
Record details
| NPI number | 1376705038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , MD |
| Sole proprietor | No |
| NPI enumerated | June 25, 2008 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 20, 2020 |
| Mailing address | 3801 Glenkerry Ct Ste 2, Portage, MI 49024-0711 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Also practises | ORAL SURGERY |
| Medical school | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduated | 2014 (12 years in practice) |
| Group practice | Kalamazoo Oral And Maxillofacial Surgery Pc — 4 clinicians |
| Accepts Medicare assignment | Not indicated |