Organization
KYLE HOLLIS OF SHELBY, PLLC
Active
Other names
James S Wilson DDS, PA, Family Dental Care of Shelby
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
416 W WARREN ST, SHELBY, NC 28150-5330
(704) 482-3281
Mailing address
416 W WARREN ST, SHELBY, NC 28150-5330
(704) 482-3281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
01/06/2025
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