Individual
JACOB SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 N CLARK ST, FOREST CITY, IA 50436-1615
(641) 585-5431
Mailing address
746 S CENTRAL ST, FOREST CITY, IA 50436-2015
(641) 596-0108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10370
IA
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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