John Wilson
John Wilson is a Dentist in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.
- Licensed in
- TN
- In the registry since
- 2022
Practice location Address checks out
101 Max Lane DrJackson, TN 38305-5206
Phone: (731) 427-1696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 11390 (TN) |
|---|
Record details
| NPI number | 1811604101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 4, 2022 |
| Mailing address | 101 Garden Dr, Jackson, TN 38305-2146 |
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