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NPI Code Detail

MEDICARE: DR. WILLIAM BARRETT WILSON DDS

MEDICARE:  DR. WILLIAM BARRETT WILSON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry13674NC

General Provider Information

NPI Number : 1043050941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM BARRETT WILSON DDS
Provider Business Mailing Address
First Line : 3135 SPRINGBANK LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3361
Country : US
Telephone Number : 704-544-7330
Fax Number :
Provider Business Practice Location Address
First Line : 3135 SPRINGBANK LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3361
Country : US
Telephone Number : 704-544-7330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/31/2024

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Directions to “ DR. WILLIAM BARRETT WILSON DDS” Practice Location

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