Individual provider · Type 1 NPI

Jack T. Wilson III, DMD

General Practice Dentistry · Louisville, KY

NPI number 1396880902 Active

Practice location

12010 Shelbyville Rd, Suite 200
Louisville, KY 40243-1054

Call (502) 583-4771 Map

Fax (502) 584-9922

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5247 (KY)

General Practice Dentistry: 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.

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About NPI 1396880902

Jack T. Wilson III, DMD's National Provider Identifier is 1396880902, issued on Feb 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.