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Dr. Jack T Wilson Iii, DMD
General Practice Dentistry in Louisville, Kentucky
NPI 1396880902

Jack T Wilson Iii is a General Practice Dentistry based in Louisville, KY and is specialized in General Practice. Jack T Wilson Iii practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Jack T Wilson Iii is 1396880902 and holds a License No. 5247 (Kentucky).

The current practice location address for Jack T Wilson Iii is 12010 Shelbyville Rd, Louisville, KY and can be reached out via phone at 502-583-4771 and via fax at 502-584-9922.

Location: 12010 Shelbyville Rd, Louisville, KY, 40243-1054
person
Provider Profile Details
NPI Number
1396880902
Provider Name
Jack T Wilson Iii
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
12010 Shelbyville Rd, Louisville, KY, 40243-1054
Phone Number
502-583-4771
Fax Number
502-584-9922
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5247 01 KY DENTIST - GENERAL PRACTIT
institution
Provider Business Practice Location Address Details
Address
12010 Shelbyville Rd
City
State
Zip
40243-1054
Phone Number
502-583-4771
Fax Number
502-584-9922
person
Provider Business Mailing Address Details
Address
12010 Shelbyville Rd
City
State
Zip
40243-1054
Phone Number
502-583-4771
Fax Number
502-584-9922
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5247 (Kentucky)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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