DR. Shannon Brock Wilson, DMD

NPI #1477681146 in Honea Path, South Carolina

Provider Information

NPI Number: 1477681146
Entity Type: Individual
Name: DR. Shannon Brock Wilson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19 SHIRMADON DR
City: Honea Path
State: South Carolina
ZIP Code: 29654-1533
Phone: (864) 369-2966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Honea Path Family Dentistry, PA	Dentist	Honea Path	AI Deep Dive

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