John Wilson
NPI 1811604101 · on the registry since 2022
Practice
- Address
- 101 Max Lane Dr
Jackson, TN 38305 - Phone
- (731) 427-1696
- Organisation at this address
- Orthodontic Specialty Group P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-04
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 Tennessee