SearchKansasDentist

Jerell Wilson, D.D.S

NPI 1770844359 · on the registry since 2012 · sole proprietor

Practice

Address
316 Maine St
Lawrence, KS 66044
Phone
(785) 312-7770
Fax
(785) 312-9447
Clinicians at this address
2

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-30

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 Kansas