Stacy Ronald Wilkerson DDS

NPI 1093703928 - Dentist - 1223G0001X

NPI Details
NPI 1093703928
Gender Male
Enumeration Date 10/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1480 FLORENCE RD
SAVANNAH TN, 38372-5205, US
Phone (731) 925-5396
Fax (731) 925-5349
Business Location
1480 FLORENCE RD
SAVANNAH TN, 38372-5205, US
Phone (731) 925-5396
Fax (731) 925-5349
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS7116
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According to our database, Dr. Stacy Ronald Wilkerson DDS NPI is 1093703928, taxonomy code is 1223G0001X and license number is DS7116, license state is located at Tennessee. Stacy Ronald Wilkerson DDS physically located at 1480 Florence Rd, Savannah TN, 38372-5205. NPI Number Stacy Ronald Wilkerson DDS has the Individual type.

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1093703928 NPI number is provided on an as is basis without warranty of any kind. 1093703928 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Ronald Wilkerson DDS are for informational purposes only.