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Dr. Brett Allen Wilson, DDS
Oral and Maxillofacial Surgery (Dentist) in Memphis, Tennessee
NPI 1386025963

Brett Allen Wilson is a Oral and Maxillofacial Surgery (Dentist) based in Fultondale, TN and is specialized in Oral and Maxillofacial Surgery. Brett Allen Wilson practices in Memphis, TN and has the professional credentials of DDS. The NPI Number for Brett Allen Wilson is 1386025963 and holds a License No. (Tennessee).

The current practice location address for Brett Allen Wilson is 875 Union Ave, Memphis, TN and can be reached out via phone at 901-448-6233 and via fax at 901-448-5480.

Location: 875 Union Ave, Memphis, TN, 35068-6073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386025963
Provider Name
Brett Allen Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
875 Union Ave, Memphis, TN, 35068-6073
Phone Number
901-448-6233
Fax Number
901-448-5480
Provider Enumeration Date
06/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
875 Union Ave
City
Memphis
State
Tennessee
Zip
38163-1900
Phone Number
901-448-6233
Fax Number
901-448-5480
person
Provider Business Mailing Address Details
Address
875 Union Ave
City
Memphis
State
Tennessee
Zip
38163-1900
Phone Number
901-448-6233
Fax Number
901-448-5480
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
11506 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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