Marion N Wilson Jr., Dds Pc | |
102 22nd St Old Hickory TN 37138-2502 | |
(615) 847-3088 | |
(615) 847-8479 |
Full Name | Marion N Wilson Jr., Dds Pc |
---|---|
Speciality | Dentist |
Location | 102 22nd St, Old Hickory, Tennessee |
Authorized Official Name and Position | Kerma Jo Wilson (OFFICE MANAGER) |
Authorized Official Contact | 6158473088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marion N Wilson Jr., Dds Pc Po Box 511 Old Hickory TN 37138-0511 Ph: (615) 847-3088 | Marion N Wilson Jr., Dds Pc 102 22nd St Old Hickory TN 37138-2502 Ph: (615) 847-3088 |
NPI Number | 1104220334 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104220334 | NPI | - | NPPES |
1588674519 | Other | TN | NPI |
1518374271 | Other | TN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4168 (Tennessee) | Primary |
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