IndividualActive
Bruce Wilson, D.M.D.
NPI 1346294063 · Oral and Maxillofacial Surgery (Dentist) · Middlesboro, KY
Provider details
- NPI number
- 1346294063
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5811 (KY)
Specialties & taxonomies
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
705 N 12th St
Middlesboro, KY 40965-1987
Phone: (606) 248-1808
Fax: (859) 823-4137
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1786
Middlesboro, KY 40965-3786
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.