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General NPI Number Information
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NPI Number | 1275467367
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Entity Type | Organization
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Legal Business Name | LUKE T. WILSON DMD PLLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1509 RIVER ST
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City | WILKESBORO
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State | NC
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Zip | 28697-7391
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Country | US
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Telephone | 704-995-2946
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Fax |
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Provider Business Mailing Address
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Address Line | 231 LAUREL DR
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City | PURLEAR
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State | NC
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Zip | 28665-9483
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Country | US
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Telephone | 704-995-2946
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | LUKE TYLER WILSON
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Credential | DMD
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Telephone | 704-995-2946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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