| West Wilson Dental Group Llc | |
|
66 E Hill Dr Suite B Mount Juliet TN 37122-8031 | |
| (615) 773-1150 | |
| (615) 773-1110 |
| Full Name | West Wilson Dental Group Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 66 E Hill Dr, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Joseph S Doctora (OWNER) |
| Authorized Official Contact | 6157731150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Wilson Dental Group Llc 66 E Hill Dr Suite B Mount Juliet TN 37122-8031 Ph: (615) 773-1150 | West Wilson Dental Group Llc 66 E Hill Dr Suite B Mount Juliet TN 37122-8031 Ph: (615) 773-1150 |
| NPI Number | 1053584953 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053584953 | NPI | - | NPPES |
| 3226329 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7268 (Tennessee) | Primary |
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