# N. ROUSE WILSON, III, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N. Rouse Wilson, III, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679657886
- **Authorized official:** MRS. SUSAN S. WILSON (BUSINESS MANAGER)
- **Authorized official phone:** (919) 542-3502

## Contact information

- **Practice address:** 767 WEST STREET, PITTSBORO, NC 27312-0940
- **Practice address phone:** (919) 542-3502
- **Practice address fax:** (919) 542-4719
- **Mailing address:** PO BOX 940, PITTSBORO, NC 27312-0940
- **Mailing address phone:** (919) 542-3502
- **Mailing address fax:** (919) 542-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5465 | NC | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8999413 | — | NC |