Individual provider · Type 1 NPI

Stephen B. Wilson, DMD

General Practice Dentistry · Marietta, GA

NPI number 1891771366 Active

Practice location

3515 Dallas Hwy SW Ste B
Marietta, GA 30064-2095

Mailing address

41 Midland Ln
Dallas, GA 30157-4133

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X19026680 (IL)
General Practice Dentistry 1223G0001X4249 (SC)
General Practice Dentistry Primary 1223G0001XDN013704 (GA)

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 1891771366

Stephen B. Wilson, DMD's National Provider Identifier is 1891771366, issued on Dec 16, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Marietta, GA. The record was last updated on May 1, 2012.