Jennifer Joann Wilson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

15073 Issued in MD

Practice address

5098 Brown Station Rd # 260
Upper Marlboro, MD 20772-9124

Phone

(240) 326-3738

Fax

(240) 545-5500

NPI assigned

Sep 15, 2011

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Joann Darden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marlborough Village Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Upper Marlboro, MD
  • NPI 1720700669

  Pediatric Dentistry

  NPD
• Marlborough Village Pediatric Dental

  • Pediatric Dentistry
  • Upper Marlboro, MD
  • NPI 1710473731
  NPD (past)
• McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental Group

  dba The Dental Group

  • Dentist
  • Riverdale, MD
  • NPI 1578644472
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1316229313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5098 BROWN STATION RD # 260",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729124",
            "telephone_number": "301-257-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5098 BROWN STATION RD # 260",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729124",
            "telephone_number": "240-326-3738",
            "fax_number": "240-545-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DARDEN",
            "middle_name": "JOANN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willie Simmons
• Wills Medical Group PC
• John Herman Wills, M.D.
• Charles H Wilson IV, LMHP-R
• Jeanine Michelle Wilson, LICSW
• Kendra Wilson
• Maria Wilson
• Reva Wilson
• Jamila Winn, PSY.D.
• Jennifer Winston

• Pediatric Dentistry in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.