JAMES G WILSON DMD PA NPI 1679564405

NPI Information

JAMES G WILSON DMD PA is a periodontics dentist in Tampa, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. JAMES G WILSON DMD PA NPI is 1679564405. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tampa Bay Periodontics And Implant Dentistry.

The provider's business location address is:

1810 S MACDILL AVE
STE 2
TAMPA, FL
ZIP 33629-901
Phone: (813) 251-0770
Fax: (813) 251-0771

The provider's authorized official is James G Wilson .
The authorized official title is President and has the following contact phone number (813) 251-0770.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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