Calvin Wilson, DDS, a Professional Service Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CALVIN WILSON, DDS, A PROFESSIONAL SERVICE CORPORATION

Practice address

445 Putnam Pike
Greenville, RI 02828-2430

Phone

(401) 231-4407

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Calvin Wilson, DDS

Title

Owner

Phone

(401) 231-4407

Specialties & licenses 1

Addresses

Other names 1

• Affordable Dentures & Implants - Providence Doing business as

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1467284232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282430",
            "telephone_number": "401-231-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282430",
            "telephone_number": "401-231-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN WILSON, DDS, A PROFESSIONAL SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-231-4407",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Providence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Boscio
• Jennifer Brissette, M.S. CCC-SLP
• Nicholas G Brunelle, PHARM.D., R.PH.
• Jaclyn Marie Brush, SLP
• Kristina Marie Giusti Burton, NP-C
• Adam Campbell
• Victoria Capezza, FNP
• Dena L Carlone, M.S.W.
• Dorethea Carter, COTA
• Hannah Cerone

• General Practice Dentistry in Greenville, RI
• Providers in Greenville, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.