Individual
DR. JAMES SHERRILL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
426 8TH ST, GLEN DALE, WV 26038-1451
(304) 845-7755
(304) 845-7010
Mailing address
426 8TH ST, GLEN DALE, WV 26038-1451
(304) 845-7755
(304) 845-7010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1883
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136162000
—
WV
Enumeration date
01/22/2007
Last updated
07/08/2007
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