Wilson, Stephen B

Wilson, Stephen B is an individual health care provider with primary practice located at 3515 Dallas Hwy Sw Ste B , Marietta GA 30064-2095. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Wilson, Stephen B can be contacted via phone (678) 684-8157.

Contact Information

Primary practice address
3515 Dallas Hwy Sw Ste B Marietta GA 30064-2095
Phone: (678) 684-8157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19026680 Illinois
Dental Providers / General Practice 1223G0001X 4249 South Carolina
Dental Providers / General Practice 1223G0001X DN013704 Georgia

Profile Details

NPI number 1891771366
LBN Legal business name Wilson, Stephen B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated May 1st, 2012 - about 13 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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