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Jack Wilson Iii, D.M.D
NPI 1396880902 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12010 Shelbyville Rd
Suite 200
Louisville, KY 40243 - Phone
- (502) 583-4771
- Fax
- (502) 584-9922
- Organisation at this address
- Mark Williams M.D., Llc
Scott A. Young M.D., Psc
Middletown Medical Group
Baptist Community Health Services
The Center For Aesthetic & Implant DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky