Jerell James Wilson, D.D.S

NPI #1770844359 in Lawrence, Kansas

Provider Information

NPI Number: 1770844359
Entity Type: Individual
Name: Jerell James Wilson, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: May 31, 2012
Last Updated: Jun 30, 2014

Practice Location

Address: 316 MAINE ST
City: Lawrence
State: Kansas
ZIP Code: 66044-1359
Phone: (785) 312-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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