IndividualActive
Bernadette Wilson, DDS MD
NPI 1861592529 · Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI
Provider details
- NPI number
- 1861592529
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2235 (MT)
Specialties & taxonomies
Dental Providers
Dental Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
430 Main St
Green Bay, WI 54301-5115
Phone: (920) 431-0345
Fax: (920) 431-0567
Approximate (ZIP-level) locationGet directions
Mailing address
164 N Broadway
Green Bay, WI 54303-2728
Additional practice locations (1)
- 711 E 13th St Ste 101Whitefish, MT 59937Phone: (406) 862-5656Fax: (406) 862-6155
Registry dates
- Enumerated
- 2006-09-23
- Last updated
- 2019-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.