Organization
TRY COUNTY ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A WILSON D.M.D (OWNER)
(724) 444-4777
Entity
Organization
Contact information
Practice address
5615 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9553
(724) 444-4777
(724) 444-5770
Mailing address
5615 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9553
(724) 444-4777
(724) 444-5770
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026612L
PA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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