Individual
DR. JOHN CHESLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2325 GREEN VALLEY RD, SUITE 1, NEW ALBANY, IN 47150-4600
(812) 944-9300
(812) 948-0547
Mailing address
2325 GREEN VALLEY RD, SUITE 1, NEW ALBANY, IN 47150-4600
(812) 944-9300
(812) 948-0547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8813
KY
1223P0221X
Pediatric Dentistry
12011910A
IN
1223P0221X
Pediatric Dentistry
Primary
8985
KY
Other
Enumeration date
08/26/2009
Last updated
07/18/2014
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