Marion N Wilson Jr., DDS PC

NPI #1104220334 in Old Hickory, Tennessee

Provider Information

NPI Number: 1104220334
Entity Type: Organization
Organization Name: Marion N Wilson Jr., DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 102 22ND ST
City: Old Hickory
State: Tennessee
ZIP Code: 37138-2502
Phone: (615) 847-3088

Authorized Official

Name: MRS. KERMA JO WILSON
Title: OFFICE MANAGER
Phone: (615) 847-3088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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