| Ron D. Wilson DMD PC | |
|
1220 Sherwood Park Drive Gainesville GA 30501-3445 | |
| (770) 536-0882 | |
| Not Available |
| Full Name | Ron D. Wilson DMD PC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1220 Sherwood Park Drive, Gainesville, Georgia |
| Authorized Official Name and Position | Ron D Wilson (OWNER) |
| Authorized Official Contact | 7705360882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ron D. Wilson DMD PC 1220 Sherwood Park Drive Gainesville GA 30501-3445 | Ron D. Wilson DMD PC 1220 Sherwood Park Drive Gainesville GA 30501-3445 Ph: (770) 536-0882 |
| NPI Number | 1912303561 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912303561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12912 (Georgia) | Primary |
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