# SCOTT P. WILSON D.D.S.P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679603658
- **Authorized official:** DR. SCOTT PAUL WILSON D.D.S. (DENTIST)
- **Authorized official phone:** (812) 537-3645

## Contact information

- **Practice address:** 520 SHELDON ST, GREENDALE, IN 47025-1549
- **Practice address phone:** (812) 537-1390
- **Mailing address:** 520 SHELDON ST, GREENDALE, IN 47025-1549
- **Mailing address phone:** (812) 537-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 08/22/2020