Organization
A CLAIRE WILSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIA CLAIRE WILSON DDS (DENTIST)
(336) 882-5498
Entity
Organization
Contact information
Practice address
2415 PENNY RD, SUITE 201, HIGH POINT, NC 27265-8121
(336) 882-5498
(336) 882-8328
Mailing address
2415 PENNY RD, SUITE 201, HIGH POINT, NC 27265-8121
(336) 882-5498
(336) 882-8328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518683
BCBS
PA
05
—
8999422
—
NC
01
—
99422
BCBS
NC
Enumeration date
04/01/2008
Last updated
04/01/2008
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