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Avery Wilson, DMD — NPI 1568084663, Westminster, MD | NPI Central

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NPI 1568084663

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Avery Wilson, DMD

NPI 1568084663 · Periodontics · Westminster, MD

Provider details

NPI number: 1568084663
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 22DI02819100 (NJ)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 17929 (MD)
Dental Providers
Dentist122300000XLicense 22DI02819100 (NJ)
Dental Providers
Periodontics1223P0300XLicense 22DI02819100 (NJ)
Dental Providers

Practice location

412 Malcolm Dr Ste 100

Westminster, MD 21157-6129

Phone: (410) 970-0292

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

412 Malcolm Dr Ste 100

Westminster, MD 21157-6129

Registry dates

Enumerated: 2020-05-12
Last updated: 2023-10-20
Certified: 2023-10-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.