Organization
COREY W. WILSON DDS PA
Active
Other names
Meadowmont Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY WAYNE WILSON DDS (OWNER)
(919) 969-9330
Entity
Organization
Contact information
Practice address
427 MEADOWMONT VILLAGE CIR, CHAPEL HILL, NC 27517-7506
(919) 969-9330
(919) 969-2774
Mailing address
427 MEADOWMONT VILLAGE CIR, CHAPEL HILL, NC 27517-7506
(919) 969-9330
(919) 969-2774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7990772
—
NC
Enumeration date
10/09/2006
Last updated
09/19/2016
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