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Antionette C Wilson, DDS
Pediatric Dentist in Savannah, Georgia
NPI 1437321742

Antionette C Wilson is a Pediatric Dentist based in Savannah, GA and is specialized in Pediatric Dentistry. Antionette C Wilson practices in Savannah, GA and has the professional credentials of DDS. The NPI Number for Antionette C Wilson is 1437321742 and holds a License No. DEN1000575 (Georgia).

The current practice location address for Antionette C Wilson is 2127 E Victory Dr, Savannah, GA and can be reached out via phone at 912-443-6013 and via fax at 912-443-6014. You can also correspond with Antionette C Wilson through the mailing address at 2127 E VICTORY DR, SAVANNAH, GA - 31404-3917 (mailing address contact number: 912-443-6013).

Location: 2127 E Victory Dr, Savannah, GA, 31404-3917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437321742
Provider Name
Antionette C Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2127 E Victory Dr, Savannah, GA, 31404-3917
Phone Number
912-443-6013
Fax Number
912-443-6014
Provider Enumeration Date
03/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2039744 01 GA UNITED CONCORDIA
428641977A 05 GA
ZG3695 05 SC
institution
Provider Business Practice Location Address Details
Address
2127 E Victory Dr
City
Savannah
State
Georgia
Zip
31404-3917
Phone Number
912-443-6013
Fax Number
912-443-6014
person
Provider Business Mailing Address Details
Address
2127 E Victory Dr
City
Savannah
State
Georgia
Zip
31404-3917
Phone Number
912-443-6013
Fax Number
912-443-6014
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401411580 (Virginia)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DEN1000575 (District of Columbia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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