James A. Wilson Dds,pc | |
509 S Missouri St Macon MO 63552-1338 | |
(660) 385-5761 | |
Not Available |
Full Name | James A. Wilson Dds,pc |
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Speciality | Dentist - General Practice |
Location | 509 S Missouri St, Macon, Missouri |
Authorized Official Name and Position | James A Wilson (PRES) |
Authorized Official Contact | 6603855761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James A. Wilson Dds,pc 509 S Missouri St Macon MO 63552-1338 Ph: (660) 385-5761 | James A. Wilson Dds,pc 509 S Missouri St Macon MO 63552-1338 Ph: (660) 385-5761 |
NPI Number | 1700997566 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700997566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12558 (Missouri) | Primary |
Long Branch Dental Group, Del G. Gregory, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 Maffry Ave, Macon, MO 63552 Phone: 660-385-3413 Fax: 660-385-7069 |