Wilson Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50-052924 Issued in NY

Legal business name

WILSON DENTAL, PC

Practice address

610 S Salina St
Syracuse, NY 13202-3524

Phone

(607) 238-1280

Fax

(607) 238-1286

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael P Wilson, DDS

Title

President/Owner

Phone

(607) 238-1280

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chenango Dental Care2 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.

• Wilson Dental P.C.

  dba Chenango Dental Care

  • Dentist
  • Binghamton, NY
  • NPI 1972781375
  NPD tax ID

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1457661316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023524",
            "telephone_number": "607-238-1280",
            "fax_number": "607-238-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023524",
            "telephone_number": "607-238-1280",
            "fax_number": "607-238-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "607-238-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50-052924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02950874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Marcus Wills, DO
• Gerald Allen Willsey, PA
• Monica Willsey
• Mary E. Wilmot, LPN
• Lindsay Wilsey, PHYSICIAN ASSISTANT
• Amari Levy Wilson-Rice
• Amy L Wilson, NP
• Amy R Wilson, RDN
• Chandra D. Wilson, PT
• Claire C. Wilson

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.