NPI 1114054541

Carol a Wilson, DMD

Practitioner Dentist Nicholasville, KY

Practice location

Address: 100 Lake St, Nicholasville, KY 40356-1002
Phone: (859) 885-5703
Fax: (859) 885-5703
Mailing address: 104 Kenton CT, Nicholasville, KY 40356-9096

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 8377 (KY)

Other Dentist providers in Kentucky →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 8377 (KY)

Registry record

NPI: 1114054541
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2007
Record last updated: 26 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.