OrganizationActive
Bruce T. Wilson,d.m.d., Psc
NPI 1396924544 · Oral and Maxillofacial Surgery (Dentist) · Middlesboro, KY
Provider details
- NPI number
- 1396924544
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Bruce Wilson, President(606) 248-1808
- License
- 5811 (KY)
Specialties & taxonomies
Dental Providers
Practice location
123 N 19th St
Middlesboro, KY 40965-2865
Phone: (606) 248-1808
Fax: (606) 248-1803
Approximate (ZIP-level) locationGet directions
Mailing address
123 N 19th St
Middlesboro, KY 40965-2865
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.