Search › Mississippi › 122300000X
Larry Wilson, DMD
NPI 1427174143 · on the registry since 2007
Practice
- Address
- 2910 Melton Ave
Pascagoula, MS 39581 - Phone
- (228) 762-9250
- Fax
- (228) 762-1785
- Organisation at this address
- Austin Taylor D.D.S., P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MS
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 Mississippi