Provider Demographics
NPI:1225236573
Name:MCPHERSON, WILMA Y (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILMA
Middle Name:Y
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 KUSER ROAD 2ND FLOOR
Mailing Address - Street 2:HAMILTON DENTAL ASSOCIATES
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-6246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 KUSER ROAD 2ND FLOOR
Practice Address - Street 2:HAMILTON DENTAL ASSOCIATES
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-6246
Practice Address - Country:US
Practice Address - Phone:609-689-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052478-11223P0221X
NJ22DI023564001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry