Individual provider · Type 1 NPI

John Chesley Wilson, DMD

Pediatric Dentistry · New Albany, IN

NPI number 1962635870 Active

Practice location

2325 Green Valley Rd, Suite 1
New Albany, IN 47150-4600

Fax (812) 948-0547

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X8813 (KY)
Pediatric Dentistry Primary 1223P0221X8985 (KY)
Pediatric Dentistry 1223P0221X12011910A (IN)

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 1962635870

John Chesley Wilson, DMD's National Provider Identifier is 1962635870, issued on Aug 26, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New Albany, IN. The record was last updated on Jul 18, 2014.