Individual provider · Type 1 NPI

Shelley Ann Wilson, DDS

Endodontics · St. Joseph, MI

NPI number 1306874797 Active

Practice location

2460 Lakeshore Dr
St. Joseph, MI 49085-1874

Fax (269) 983-5663

Mailing address

2520 S State St
St. Joseph, MI 49085-1935

Specialties and licenses

TaxonomyCodeLicense
Endodontics Primary 1223E0200X2901017656 (MI)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1306874797

Shelley Ann Wilson, DDS's National Provider Identifier is 1306874797, issued on Jun 28, 2006. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in St. Joseph, MI. The record was last updated on Jul 8, 2007.