Dr Charlyn A Wilson, DDS | |
7685 Wolf River Cir, Suite 102, Germantown, TN 38138-1749 | |
(901) 751-1100 | |
(901) 751-1164 |
Full Name | Dr Charlyn A Wilson |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 7685 Wolf River Cir, Germantown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972638922 | NPI | - | NPPES |
4132991 | Other | TN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS7079 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
---|---|
Dr Charlyn A Wilson, DDS 7685 Wolf River Cir, Suite 102, Germantown, TN 38138-1749 Ph: (901) 751-1100 | Dr Charlyn A Wilson, DDS 7685 Wolf River Cir, Suite 102, Germantown, TN 38138-1749 Ph: (901) 751-1100 |
Dr. Jessica Gursakal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7520 Enterprise Ave, Germantown, TN 38138 Phone: 901-604-8603 | |
Dr. Sarah Kutas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7512 Corporate Center Dr, Germantown, TN 38138 Phone: 901-754-2273 | |
Dr. Donald Gavin Walley, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 7730 Wolf River Blvd, Suite 104, Germantown, TN 38138 Phone: 901-755-6440 Fax: 901-755-6436 | |
Dr. Courtney P Edwards, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 7938 Wolf River Blvd, Germantown, TN 38138 Phone: 901-754-3117 | |
Dr. Josylin Vassaur Freeman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8590 Farmington Blvd Ste 5, Germantown, TN 38139 Phone: 901-756-0688 Fax: 901-756-0838 | |
Dr. Donald Lamar Gary, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2008 Exeter Rd, Germantown, TN 38138 Phone: 901-755-4132 Fax: 901-755-7283 | |
Dr. Douglas B Dugard, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7612 Poplar Pike, Germantown, TN 38138 Phone: 901-755-7600 Fax: 901-753-4262 |