Lauren Bunch Wilson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14100 Issued in NC

Practice address

205 Fayetteville St Ste 100
Raleigh, NC 27601-1362

Phone

(919) 330-0642

NPI assigned

Jun 13, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1023851615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 SIX FORKS RD APT 3210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096452",
            "telephone_number": "252-333-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FAYETTEVILLE ST STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011362",
            "telephone_number": "919-330-0642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8065 Ten Ten Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276038520",
            "country_code": "US",
            "telephone_number": "984-343-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAUREN",
        "middle_name": "BUNCH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14100",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRPM2786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Savannah Wilson
• Kisha Wilson
• Kristin Mannina Wilson, OTRL
• Kyle Wilson
• Latoya Shena Wilson
• Leigh C Wilson, MSW, P-LCSW
• Lisa C Wilson, LCSW-A
• Litasha Wilson
• Lucius Massey Wilson, MSW, LCSWA, LCASA
• Mackenzie Wilson

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.