# MARLA WILSON DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770787657
- **Authorized official:** MARLA KAY WILSON DDS (DENTIST)
- **Authorized official phone:** (317) 787-6625

## Contact information

- **Practice address:** 6920 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227-2215
- **Practice address phone:** (317) 787-6625
- **Practice address fax:** (317) 787-4945
- **Mailing address:** 6920 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227-2215
- **Mailing address phone:** (317) 787-6625
- **Mailing address fax:** (317) 787-4945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009690 | IN | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 12/06/2016