Larry J Wilson is a Dentist in Pascagoula, Mississippi. Larry J Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry J Wilson is 1427174143. The last update date is 2007-07-08.
Larry J Wilson's current location address is 2910 Melton Ave, Pascagoula, Mississippi. You can contact this provider via phone number 2287629250 and fax number 2287621785. The mailing address for Larry J Wilson is 2910 Melton Ave, Pascagoula, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry J Wilson |
|---|---|
| Address | 2910 Melton Ave, Pascagoula, Mississippi |
| Phone Number | 2287629250 |
| Fax Number | 2287621785 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1427174143 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2910 Melton Ave |
|---|---|
| City | Pascagoula |
| State | Mississippi (MS) |
| Post Code | 395814120 |
| Phone Number | 2287629250 |
| Fax Number | 2287621785 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 340306 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Larry J Wilson's unique identification number?
The Larry J Wilson has been assigned the NPI (National Provider Identifier) Number 1427174143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Larry J Wilson is physically located?
The Larry J Wilson is physically situated at the following address: 2910 Melton Ave, Pascagoula, MS, 395814120.
What is the Larry J Wilson's specialty and taxonomy code?
The Larry J Wilson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Larry J Wilson's 1427174143 issued?
The Larry J Wilson's 1427174143 was issued on 2007-03-22.
When was the Larry J Wilson's information last updated?
The Larry J Wilson's information was last updated on 2007-07-08.
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