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Dr. Lori S Wilson, DDS
General Practice Dentistry in Montgomery, Alabama
NPI 1861409203

Lori S Wilson is a General Practice Dentistry based in Dothan, AL and is specialized in General Practice. Lori S Wilson practices in Montgomery, AL and has the professional credentials of DDS. The NPI Number for Lori S Wilson is 1861409203 and holds a License No. D-0006715-C (Alabama).

The current practice location address for Lori S Wilson is 3052 Mcgehee Rd, Montgomery, AL and can be reached out via phone at 334-239-9704 and via fax at 334-239-9505. You can also correspond with Lori S Wilson through the mailing address at 602 FAIRWAY DR, DOTHAN, AL - 36301-7860 (mailing address contact number: 757-635-0497).

Location: 3052 Mcgehee Rd, Montgomery, AL, 36301-7860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861409203
Provider Name
Lori S Wilson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3052 Mcgehee Rd, Montgomery, AL, 36301-7860
Phone Number
334-239-9704
Fax Number
334-239-9505
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9179631 05 VA
7996766 01 VA AETNA
1335151 01 VA UNITED CONCORDIA
199459 01 VA BLUE CROSS/ BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3052 Mcgehee Rd
City
Montgomery
State
Alabama
Zip
36111-2203
Phone Number
334-239-9704
Fax Number
334-239-9505
person
Provider Business Mailing Address Details
Address
602 Fairway Dr
City
Dothan
State
Alabama
Zip
36301-7860
Phone Number
757-635-0497
Fax Number
804-733-8687
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-0006715-C (Alabama)
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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