Brian H. Willson, D.d.s., P.a. | |
2019 Valleygate Dr Suite 101 Fayetteville NC 28304-3688 | |
(910) 484-1555 | |
(910) 323-9287 |
Full Name | Brian H. Willson, D.d.s., P.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 2019 Valleygate Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Brian H Willson (PRESIDENT) |
Authorized Official Contact | 9104841555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brian H. Willson, D.d.s., P.a. 2019 Valleygate Dr Suite 101 Fayetteville NC 28304-3688 Ph: (910) 484-1555 | Brian H. Willson, D.d.s., P.a. 2019 Valleygate Dr Suite 101 Fayetteville NC 28304-3688 Ph: (910) 484-1555 |
NPI Number | 1760495832 |
---|---|
Provider Enumeration Date | 08/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760495832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |