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

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X11548 (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.

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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.