Dr Lori S Wilson, DDS | |
3052 Mcgehee Rd, Montgomery, AL 36111-2203 | |
(334) 239-9704 | |
(334) 239-9505 |
Full Name | Dr Lori S Wilson |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 3052 Mcgehee Rd, Montgomery, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861409203 | NPI | - | NPPES |
9179631 | Medicaid | VA | |
7996766 | Other | VA | AETNA |
1335151 | Other | VA | UNITED CONCORDIA |
199459 | Other | VA | BLUE CROSS/ BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D-0006715-C (Alabama) | Secondary |
1223G0001X | Dentist - General Practice | 0401411164 (Virginia) | Primary |
Entity Name | Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598788218 PECOS PAC ID: 1557324811 Enrollment ID: O20041201000952 |
Entity Name | Montgomery Aids Outreach, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689651408 PECOS PAC ID: 0749214401 Enrollment ID: O20050921001158 |
Mailing Address | Practice Location Address |
---|---|
Dr Lori S Wilson, DDS 602 Fairway Dr, Dothan, AL 36301-7860 Ph: (757) 635-0497 | Dr Lori S Wilson, DDS 3052 Mcgehee Rd, Montgomery, AL 36111-2203 Ph: (334) 239-9704 |
Dr. Gipson Mark Kingry, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8101 Seaton Pl., Suite A, Montgomery, AL 36116 Phone: 334-272-4900 Fax: 334-409-9933 | |
Dr. Cory Allen Borer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7022 Vaughn Rd, Montgomery, AL 36116 Phone: 334-271-3111 Fax: 334-271-3112 | |
Robert William Scott, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4146 Carmichael Rd, Suite D, Montgomery, AL 36106 Phone: 334-270-9924 Fax: 334-270-9904 | |
Dr. Grady L. Price Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4164 Carmichael Rd, Montgomery, AL 36106 Phone: 334-277-2980 Fax: 334-277-2987 | |
Dr. Foch M. Smart, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 Ray Thorington Rd, Montgomery, AL 36117 Phone: 334-271-2345 | |
Miss Lini Cai Mickus, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3060 Mobile Hwy, Montgomery, AL 36108 Phone: 843-813-5281 | |
Dr. Jack C Bushman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3150 Zelda Ct, Montgomery, AL 36106 Phone: 334-281-2451 Fax: 334-281-1087 |