Individual
WILSON MORRIS MASSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
217 W JEFFERSON ST, PULASKI, TN 38478-2812
(931) 363-1564
Mailing address
217 W JEFFERSON ST, PULASKI, TN 38478-2812
(931) 363-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10085
TN
Other
Enumeration date
06/19/2015
Last updated
10/27/2017
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