Stephen Wilson, DMD

NPI 1891771366 · on the registry since 2005

Practice

Address: 3515 Dallas Hwy Sw Ste B
Marietta, GA 30064
Phone: (678) 684-8157
Organisation at this address: Westside Dental
Village Podiatry Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 122300000X
1223G0001X
Licence states on file: IL, SC, GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-01

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 Georgia