# JAMES S WILSON DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** C Douglas Stroud DDS MPL PA Craig D Thompson DMD PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457367260
- **Authorized official:** DR. JAMES SPERLING WILSON (DENTIST PRESIDENT OWNER)
- **Authorized official phone:** (704) 482-3281

## Contact information

- **Practice address:** 416 WEST WARREN STREET, SHELBY, NC 28150
- **Practice address phone:** (704) 482-3281
- **Practice address fax:** (704) 484-2990
- **Mailing address:** 416 WEST WARREN STREET, SHELBY, NC 28150
- **Mailing address phone:** (704) 482-3281
- **Mailing address fax:** (704) 484-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3230 | NC | — |
| 1223G0001X | General Practice Dentistry | 5857 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 8112 | NC | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 899402 | — | NC |