Search › New York › 122300000X
Jermaine Wilson
NPI 1730824947 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1732 Old Country Rd Unit D
Riverhead, NY 11901 - Phone
- (631) 381-6205
- Organisation at this address
- Dental Smile Services, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York