Individual
DR. OLCIE LEE WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1930 ALCOA HWY, MEDICAL BLDG. A SUITE 340, KNOXVILLE, TN 37920-1500
(865) 544-9440
(865) 544-9442
Mailing address
1930 ALCOA HWY, MEDICAL BLDG. A SUITE 340, KNOXVILLE, TN 37920-1500
(865) 544-9440
(865) 544-9442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 0005047
TN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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