DR. Gregory Alan Wilson, DDS

NPI #1417203555 in Selmer, Tennessee

Provider Information

NPI Number: 1417203555
Entity Type: Individual
Name: DR. Gregory Alan Wilson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 26, 2012
Last Updated: Jul 26, 2012

Practice Location

Address: 710 FEDERAL DR
City: Selmer
State: Tennessee
ZIP Code: 38375
Phone: (731) 434-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Wilson Family Dentistry	Dentist	Selmer	AI Deep Dive

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