Organization
JAMES S WILSON DDS PA
Active
Other names
C Douglas Stroud DDS MPL PA Craig D Thompson DMD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SPERLING WILSON (DENTIST PRESIDENT OWNER)
(704) 482-3281
Entity
Organization
Contact information
Practice address
416 WEST WARREN STREET, SHELBY, NC 28150
(704) 482-3281
(704) 484-2990
Mailing address
416 WEST WARREN STREET, SHELBY, NC 28150
(704) 482-3281
(704) 484-2990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3230
NC
1223G0001X
General Practice Dentistry
Primary
5857
NC
1223G0001X
General Practice Dentistry
8112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899402
—
NC
Enumeration date
08/01/2006
Last updated
08/22/2020
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