Organization
T. WAYNE WILSON, DDS, PA
Active
Other names
T. Wayne Wilson and Phillip D. Beaver, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WAYNE WILSON D.D.S. (PRESIDENT)
(704) 636-5802
Entity
Organization
Contact information
Practice address
484 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1365
(704) 636-5802
(704) 637-6420
Mailing address
484 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1365
(704) 636-5802
(704) 637-6420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4132
NC
Other
Enumeration date
01/03/2008
Last updated
09/30/2015
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