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N. ROUSE WILSON III DDS PA NPI 1679657886


NPI Information

NPI: 1679657886
Provider Name: N. ROUSE WILSON, III, DDS, PA

Former Legal Business Name: N. ROUSE WILSON, III, DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
767 WEST STREET
PITTSBORO, NC
ZIP 27312
Phone: (919) 542-3502
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N. ROUSE WILSON, III, DDS, PA is a general practice dentist in Pittsboro, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. N. ROUSE WILSON, III, DDS, PA NPI is 1679657886. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is N. Rouse Wilson, Iii, Dds.

The provider's business location address is:

767 WEST STREET
PITTSBORO, NC
ZIP 27312-940
Phone: (919) 542-3502
Fax: (919) 542-4719

The provider's authorized official is Susan S. Wilson .
The authorized official title is Business Manager and has the following contact phone number (919) 542-3502.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/13/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5465NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18999413MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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