Organization
JAMES G WILSON DMD PA
Active
Other names
Tampa Bay Periodontics and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G WILSON DMD (PRESIDENT)
(813) 251-0770
Entity
Organization
Contact information
Practice address
1810 S MACDILL AVE, STE 2, TAMPA, FL 33629-5901
(813) 251-0770
(813) 251-0771
Mailing address
1810 S MACDILL AVE, STE 2, TAMPA, FL 33629-5901
(813) 251-0770
(813) 251-0771
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN13537
FL
Other
Enumeration date
11/01/2005
Last updated
08/22/2020
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