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

Individual provider Dentist · NPI 1215144910

Phillip Duane Wilson, DDS is a Dentist in Portland, Maine. Practices as a sole proprietor. Licensed in Maine and Texas.

Licensed in
ME, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2693
Phone: (207) 283-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN4754 (ME)
Dentist Taxonomy 122300000X · Licence 16752 (TX)

Record details

NPI number1215144910
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020
Mailing address716 Stevens Ave, Portland, ME 04103-2693

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