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1447511159 NPI number — GRAHAM H WILSON D.D.S.

NPI Number: 1447511159
Health Care Provider/Practitioner: GRAHAM H WILSON D.D.S.

Information about “1447511159” NPI (GRAHAM H WILSON D.D.S.) exists in 1447511159 in HTML format HTML  |  1447511159 in plain Text format TXT  |  1447511159 in PDF (Portable Document Format) PDF  |  1447511159 in an XML format XML  formats.

NPI Number : 1447511159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447511159",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILSON",
    "FirstName": "GRAHAM",
    "MiddleName": "H",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7320 MARKET ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28411-9881",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-386-5003",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7320 MARKET ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28411-9881",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-386-5003",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2012",
    "LastUpdateDate": "10/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": "0401415147",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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