Bruce T. Wilson,d.m.d., Psc
Oral and Maxillofacial Dental Clinic
123 N 19th St, Middlesboro
Kentucky, 40965-2865
606-248-1808 606-248-1803
Maps & DirectionsBruce T. Wilson,d.m.d., Psc is a Oral and Maxillofacial Dental Clinic in Middlesboro, Kentucky. It is located at 123 N 19th St, Middlesboro, KY and its contact number is 606-248-1808. The authorized person for Bruce T. Wilson,d.m.d., Psc is Dr. Bruce Taylor Wilson
who is President of the clinic and their contact number is 606-248-1808. The primary license number for Bruce T. Wilson,d.m.d., Psc is 5811 (Oral and Maxillofacial Surgery) in Kentucky.
Bruce T. Wilson,d.m.d., Psc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Bruce T. Wilson,d.m.d., Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bruce T. Wilson,d.m.d., Psc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 123 N 19th St, Middlesboro,
Kentucky, 40965-2865 |
| Phone: | 606-248-1808 |
| Fax: | 606-248-1803 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Bruce Taylor Wilson |
| Position: | President |
| Contact Number: | 606-248-1808 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bruce T. Wilson,d.m.d., Psc clinic are as mentioned below.
| NPI Number: | 1396924544 |
| NPI Enumeration Date: | 24 Oct, 2007 |
| NPI Last Update On: | 24 Oct, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce T. Wilson,d.m.d., Psc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 5811 | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 64058118 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bruce T. Wilson,d.m.d., Psc
123 N 19th St, Po Box 1786
Middlesboro, Kentucky |
| Zip: | 40965-2865 |
| Phone Number: | 606-248-1808 |
| Fax Number: | 606-248-1803 |
Patients can reach Bruce T. Wilson,d.m.d., Psc at
123 N 19th St, Middlesboro, Kentucky or can
call to book an appointment on 606-248-1808.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.