Wilson, James Kenneth

Wilson, James Kenneth is an individual health care provider with primary practice located at 121 S Estes Drive Suite 205C, Chapel Hill NC 27516. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wilson, James Kenneth can be contacted via phone (919) 928-0105.

Contact Information

Primary practice address
121 S Estes Drive Suite 205C Chapel Hill NC 27516
Phone: (919) 928-0105
Fax: (919) 928-0630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4157 North Carolina

Profile Details

NPI number 1700957354
LBN Legal business name Wilson, James Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1700957354 NPPES
North Carolina MEDICAID 7999405

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