Individual
DR. JAMES KENNETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 S ESTES DRIVE, SUITE 205C, CHAPEL HILL, NC 27516
(919) 928-0105
(919) 928-0630
Mailing address
10404 MANLY, CHAPEL HILL, NC 27517
(919) 933-1646
(919) 933-3739
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7999405
—
NC
Enumeration date
11/13/2006
Last updated
07/08/2007
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