T. Wayne Wilson, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4132 Issued in NC

Legal business name

T. WAYNE WILSON, DDS, PA

Practice address

484 Jake Alexander Blvd W
Salisbury, NC 28147-1365

Phone

(704) 636-5802

Fax

(704) 637-6420

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Wayne Wilson, D.D.S.

Title

President

Phone

(704) 636-5802

Specialties & licenses 1

Addresses

Other names 1

• T. Wayne Wilson and Phillip D. Beaver, DDS, PA Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacye Joyner Harborth, D.D.S.

  • General Practice Dentistry
  • Salisbury, NC
  • NPI 1598147936
  NPD

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1295910719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471365",
            "telephone_number": "704-636-5802",
            "fax_number": "704-637-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471365",
            "telephone_number": "704-636-5802",
            "fax_number": "704-637-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. WAYNE WILSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-636-5802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T. Wayne Wilson and Phillip D. Beaver, DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tori Charlotte Sweeting, MSW, LCSW
• Nicole Swindell
• Hayley Anderson Swing, PA-C
• Damalice Swiri
• T. Grace Brands LLC
• Chania Tabor
• Erlein Melissa Joy De Luna Tacastacas
• Claire Tajiri, DMD
• Morteza Tajlili, M.D
• Robin Snow Tanner, MD

• Dental Clinic/Center in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.