| N. Rouse Wilson, Iii, Dds, Pa | |
|
767 West Street Pittsboro NC 27312-0940 | |
| (919) 542-3502 | |
| (919) 542-4719 |
| Full Name | N. Rouse Wilson, Iii, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 767 West Street, Pittsboro, North Carolina |
| Authorized Official Name and Position | Susan S. Wilson (BUSINESS MANAGER) |
| Authorized Official Contact | 9195423502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N. Rouse Wilson, Iii, Dds, Pa Po Box 940 Pittsboro NC 27312-0940 Ph: (919) 542-3502 | N. Rouse Wilson, Iii, Dds, Pa 767 West Street Pittsboro NC 27312-0940 Ph: (919) 542-3502 |
| NPI Number | 1679657886 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679657886 | NPI | - | NPPES |
| 8999413 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5465 (North Carolina) | Primary |
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