Provider Demographics
NPI:1285900829
Name:WILSON, MARGARET B (DDS)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:B
Last Name:WILSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAKESIDE ANNEX #7, MS 701
Mailing Address - Street 2:EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4354
Mailing Address - Country:US
Mailing Address - Phone:252-737-7210
Mailing Address - Fax:
Practice Address - Street 1:LAKESIDE ANNEX #7
Practice Address - Street 2:EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4354
Practice Address - Country:US
Practice Address - Phone:252-737-7210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0103122300000X
MD7675122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist