Erin Riley Wilson, DMD
Individual provider Active NPI Pediatric Dentistry · Vineyard, UT
NPI 1497115117 · NPPES record last updated Feb 27, 2020
Key facts
- NPI
- 1497115117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 11502390 (UT)
- Practice address
- 707 E Mill Rd Ste 101
Vineyard, UT 84059-5732 - Phone
- (801) 655-5900
- NPI assigned
- Feb 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11502390 | UT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allencrane, LLP | Pediatric Dentistry | Past | Accepting new patients |
| Abc Pediatric Dentistry, PC | Pediatric Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11502390 | UT | Yes |
Addresses
Primary practice location
707 E Mill Rd Ste 101
Vineyard, UT 84059-5732
Mailing address
707 E Mill Rd Ste 101
Vineyard, UT 84059-5732
Phone (801) 655-5900
Other practice location 1
65 N Gateway Dr Ste 1
Providence, UT 84332-6102
Phone (435) 787-2223
Other providers in Vineyard, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.