| Ronald E. Wilson, D.d.s.,p.c. | |
|
1295 Terrell Mill Rd Se Suite 102 Marietta GA 30067-9438 | |
| (770) 952-5200 | |
| Not Available |
| Full Name | Ronald E. Wilson, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1295 Terrell Mill Rd Se, Marietta, Georgia |
| Authorized Official Name and Position | Adrienne A. Wilson (SEC. TREAS.) |
| Authorized Official Contact | 7704332820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald E. Wilson, D.d.s.,p.c. 2267 Edgartown Ln Se Smyrna GA 30080-6575 Ph: (770) 433-2820 | Ronald E. Wilson, D.d.s.,p.c. 1295 Terrell Mill Rd Se Suite 102 Marietta GA 30067-9438 Ph: (770) 952-5200 |
| NPI Number | 1609909654 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609909654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7823 (Georgia) | Primary |
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