Marion N Wilson Jr., DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

4168 Issued in TN

Legal business name

MARION N WILSON JR., DDS PC

Practice address

102 22ND St
Old Hickory, TN 37138-2502

Phone

(615) 847-3088

Fax

(615) 847-8479

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kerma Jo Wilson

Title

Office Manager

Phone

(615) 847-3088

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebekah Anne Koon, D.D.S.

  • Dentist
  • Old Hickory, TN
  • NPI 1518374271
  NPD (past)
• Marion Nelson Wilson Jr., DDS

  • General Practice Dentistry
  • Old Hickory, TN
  • NPI 1588674519
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1104220334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371380511",
            "telephone_number": "615-847-3088",
            "fax_number": "615-847-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 22ND ST",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382502",
            "telephone_number": "615-847-3088",
            "fax_number": "615-847-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION N WILSON JR., DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KERMA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-847-3088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "4168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518374271",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588674519",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista M. Clark (Essential Accents)
• Cassandra Elizabeth Worley Leding, DDS
• Autumn Lunsford
• Maness Family Practice
• Joseph Henry Maness, NP
• Jace Dale Martin Jr., O.D.
• Alyssa Martinez
• Robert Wayne Mashburn, DC
• Matter Health of Tennessee, PLLC
• Jill Jackson McCarthy, MS, CCC-SLP

• Dentist in Old Hickory, TN
• Providers in Old Hickory, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.