Organization
WILSON FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG ALAN WILSON DDS (SOLE MEMBER)
(731) 610-6454
Entity
Organization
Contact information
Practice address
710 FEDERAL DR, SELMER, TN 38375-1876
(731) 645-7506
(731) 645-5660
Mailing address
710 FEDERAL DR, SELMER, TN 38375-1876
(731) 645-7506
(731) 645-5660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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