Gregory L Wilson in Selmer - General Practice

Gregory L Wilson - NPI 1447386875

Gregory L Wilson is a General Practice in Selmer, Tennessee. Gregory L Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory L Wilson is 1447386875. The last update date is 2012-11-30.

Gregory L Wilson's current location address is 710 Federal Drive, Selmer, Tennessee. You can contact this provider via phone number 7316457506 and fax number 7316455660. The mailing address for Gregory L Wilson is 710 Federal Drive, Selmer, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory L Wilson
Address 710 Federal Drive, Selmer, Tennessee
Phone Number 7316457506
Fax Number 7316455660
Sole Proprietor Y
Credentials DDS MS

NPI Number Detail

NPI Number 1447386875
Provider Enumeration Date 2007-02-27
Last Updated Date 2012-11-30

Provider Mailing Address Detail

Address 710 Federal Drive
City Selmer
State Tennessee (TN)
Post Code 38375
Phone Number 7316457506
Fax Number 7316455660

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS3832
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3226180 TN --
106853 TN BLUE CROSS BLUE SHIELD
792419 UNITED CONCORDIA

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FAQs about Gregory L Wilson

What is the unique 10-digit identification code issued to Gregory L Wilson by the Centers for Medicare & Medicaid Services?

The Gregory L Wilson has been assigned the NPI (National Provider Identifier) 1447386875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Gregory L Wilson is physically located?

The Gregory L Wilson is situated at the following address: 710 Federal Drive, Selmer, TN 38375.

What is Gregory L Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory L Wilson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did Gregory L Wilson receive its 1447386875 assignment from the Centers for Medicare & Medicaid Services?

The Gregory L Wilson was assigned its 1447386875 on 2007-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gregory L Wilson most recently updated?

The details pertaining to the Gregory L Wilson, including its address, specialty, and other relevant information, were last refreshed on 2012-11-30.

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