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T. Wayne Wilson, Dds, Pa
Dental Clinic/Center in Salisbury, North Carolina
NPI 1295910719

T. Wayne Wilson, Dds, Pa is a Dental Clinic/Center based in Salisbury, NC and is specialized in Dental. T. Wayne Wilson, Dds, Pa practices in Salisbury, NC. The NPI Number for T. Wayne Wilson, Dds, Pa is 1295910719 and holds a License No. 4132 (North Carolina).

The current practice location address for T. Wayne Wilson, Dds, Pa is 484 Jake Alexander Blvd W, Salisbury, NC and can be reached out via phone at 704-636-5802 and via fax at 704-637-6420.

Location: 484 Jake Alexander Blvd W, Salisbury, NC, 28147-1365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295910719
Provider Name
T. Wayne Wilson, Dds, Pa
Credential
Provider Entity Type
Organization
Address
484 Jake Alexander Blvd W, Salisbury, NC, 28147-1365
Phone Number
704-636-5802
Fax Number
704-637-6420
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
484 Jake Alexander Blvd W
City
Salisbury
State
North Carolina
Zip
28147-1365
Phone Number
704-636-5802
Fax Number
704-637-6420
person
Provider Business Mailing Address Details
Address
484 Jake Alexander Blvd W
City
Salisbury
State
North Carolina
Zip
28147-1365
Phone Number
704-636-5802
Fax Number
704-637-6420
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
4132 (North Carolina)
Definition
Definition to come...
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