Individual
DR. LUKE TYLER JOHN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
141 BLOWING ROCK BLVD, LENOIR, NC 28645-4401
(828) 394-3197
Mailing address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(704) 995-2946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13710
NC
Other
Enumeration date
05/05/2023
Last updated
06/04/2024
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