Dr. K. Paul Wilson, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3070 Issued in WV

Legal business name

DR. K. PAUL WILSON, PLLC

Doing business as

Wilson Martino Dental of Morgantown

Practice address

1016 Maple Dr
Morgantown, WV 26505-2893

Phone

(304) 599-6550

Fax

(304) 599-6557

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By 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

Dr. Robert V Martino, DDSNPI 1669570081

Title

Ceo

Phone

(304) 624-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilson Martino Dental of Morgantown Doing business as

Tax ID family

Dr K Paul Wilson PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Wilson & Martino, PLLC

  dba TLC Dental

  • General Practice Dentistry
  • Morgantown, WV
  • NPI 1336232586
  NPD tax ID

Locations

Practitioners 3

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.

• Robert V Martino, DDS

  • General Practice Dentistry
  • Bridgeport, WV
  • NPI 1669570081
  Authorized official Same address or phone
• Hebah Kassar, DDS

  • General Practice Dentistry
  • Fairmont, WV
  • NPI 1699344911
  NPD (past)
• Andrew Michael Marra, DDS

  • Endodontics
  • Morgantown, WV
  • NPI 1972163558

  General Practice

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184717316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COST AVE",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263014811",
            "telephone_number": "304-624-5250",
            "fax_number": "304-624-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAPLE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052893",
            "telephone_number": "304-599-6550",
            "fax_number": "304-599-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. K. PAUL WILSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-624-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL MEDICAL CARD",
            "identifier": "4500019000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Martino Dental of Morgantown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Doyle, M.D.
• Gregory A Doyle, M.D.
• Kayla Dozer
• Dr. Christopher L. Seese PLLC (Willow Tree Dental)
• Dr. Cynthia D. Parks DDS, PLLC (Cynthia D. Parks DDS, PLLC)
• Dr. Timothy D. Sines, Inc (Suncrest Dental Group)
• Dr. White's Vein Center
• Kristen Elizabeth Dragan, M.D.
• Shane Dragan, MD
• Abby Dragovich, MOTR/L

• General Practice Dentistry in Morgantown, WV
• Providers in Morgantown, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.