Organization Active NPI

Wiley L. Edwards Jr. DDS Wilmington PLLC

  • Dentist
  • Wilmington, NC
National Provider Identifier
1508618588
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WILEY L. EDWARDS JR. DDS WILMINGTON PLLC
Practice address
4230 Market St
Wilmington, NC 28403-1409
Phone
(252) 843-1700
Fax
(252) 843-1701
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Dr. Wiley L Edwards Jr.NPI 1043701972
Title
Owner/Doctor
Phone
(252) 843-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4230 Market St
Wilmington, NC 28403-1409

Mailing address

4230 Market St
Wilmington, NC 28403-1409
Phone (252) 843-1700

Other names 1

  • Wilmington Dentures and Implants Doing business as

National Provider Directory

National Provider Directory

Locations

4230 Market St
Wilmington, NC 28403
Phone (252) 843-1700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1508618588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031409",
            "telephone_number": "252-843-1700",
            "fax_number": "252-843-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031409",
            "telephone_number": "252-843-1700",
            "fax_number": "252-843-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY L. EDWARDS JR. DDS WILMINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "252-843-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Dentures and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.