Provider Demographics
NPI:1780763730
Name:WILSON, NAPOLEON STEPHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:NAPOLEON
Middle Name:STEPHEN
Last Name:WILSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28775 GATES MILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4739
Mailing Address - Country:US
Mailing Address - Phone:216-595-0070
Mailing Address - Fax:
Practice Address - Street 1:2431 NILES RD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5420
Practice Address - Country:US
Practice Address - Phone:330-369-3950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist