IndividualActive
Earl Wilson, D.M.D.
NPI 1215104997 · General Practice Dentistry · Leitchfield, KY
Provider details
- NPI number
- 1215104997
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 5613 (KY)
Specialties & taxonomies
Dental Providers
Practice location
1713 Elizabethtown Rd
Leitchfield, KY 42754-8128
Phone: (270) 259-3003
Fax: (270) 259-5408
Approximate (ZIP-level) locationGet directions
Mailing address
1713 Elizabethtown Rd
Leitchfield, KY 42754-8128
Registry dates
- Enumerated
- 2008-05-13
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.