| Wilson Orthodontics | |
|
2900 Croasdaile Dr Suite 3 Durham NC 27705-2579 | |
| (919) 383-7423 | |
| (919) 383-3444 |
| Full Name | Wilson Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2900 Croasdaile Dr, Durham, North Carolina |
| Authorized Official Name and Position | Michael Jeremy Wilson (OWNER) |
| Authorized Official Contact | 9193837423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Orthodontics 2900 Croasdaile Dr Suite 3 Durham NC 27705-2579 Ph: (919) 383-7423 | Wilson Orthodontics 2900 Croasdaile Dr Suite 3 Durham NC 27705-2579 Ph: (919) 383-7423 |
| NPI Number | 1275701336 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275701336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7088 (North Carolina) | Primary |
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