# DR. TARYN WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033695010
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10144 | KY | — |
| 1223G0001X | General Practice Dentistry | 12013439A | IN | Yes |

## Other

- **Enumeration date:** 07/13/2018
- **Last updated:** 06/02/2021