National Provider Identifier Database

GREGORY L WILSON, DDS MS – NPI #1447386875
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

GREGORY L WILSON, DDS MS
710 FEDERAL DRIVE
SELMER, TN38375
Phone: 731-645-7506
Fax: 731-645-5660
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for GREGORY L WILSON

NPI Number 1447386875
Credentials DDS MS
Entity Individual
Enumeration date 02/27/2007
Last updated 11/30/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: DS3832
  • TN Medicaid: 3226180
  • Other: 792419 UNITED CONCORDIA
  • TN Other: 0106853 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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