Individual
DR. SCOTT PAUL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
520 SHELDON ST, GREENDALE, IN 47025-1549
(812) 537-1390
(812) 537-1390
Mailing address
520 SHELDON ST, GREENDALE, IN 47025-1549
(812) 537-1390
(812) 537-1390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009276
IN
Other
Enumeration date
05/23/2006
Last updated
07/09/2007
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