Individual provider · Type 1 NPI
Carolyn Fern Wilson, DDS MSD
Pediatric Dentistry · Irving, TX
NPI number
1720127087
Active
Practice location
3219 Macarthur, # 100
Irving, TX 75062
Fax (972) 258-0502
Mailing address
6121 Kenwood Drive
Dallas, TX 75149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 11548 (TX) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
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- Sarita Shah, DDSPediatric Dentistry Irving, TX NPI 1497884084
- Rawaha Memon, D.D.SPediatric Dentistry Irving, TX NPI 1528359015
- Hollea White, DMDPediatric Dentistry Irving, TX NPI 1568566693
- Robert Ernest Morgan Jr., DDS MSDPediatric Dentistry Irving, TX NPI 1902961212
About NPI 1720127087
Carolyn Fern Wilson, DDS MSD's National Provider Identifier is 1720127087, issued on Feb 5, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Irving, TX. The record was last updated on Jul 8, 2007.