Wilson, James L

Wilson, James L is an individual health care provider with primary practice located at 207 W Front St , Liberty SC 29657-1009. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, James L can be contacted via phone (864) 843-3742.

Contact Information

Primary practice address
207 W Front St Liberty SC 29657-1009
Phone: (864) 843-3742
Fax: (864) 843-3744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3144 South Carolina

Profile Details

NPI number 1184680134
LBN Legal business name Wilson, James L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184680134 NPPES
South Carolina MEDICAID Z31449

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