NPIMap

Organization Active NPI

Wilson Dental Inc

  • General Practice Dentistry
  • Florence, AL
National Provider Identifier
1558814384
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D 6089 C1 Issued in AL
Legal business name
WILSON DENTAL INC
Practice address
1602 Mockingbird CT
Florence, AL 35630-1552
Phone
(256) 764-9533
Fax
(256) 718-1013
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Dr. Patrick Roger Wilson, DMDNPI 1437590486
Title
President
Phone
(205) 275-1450

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
General Practice Dentistry 1223G0001X D 6089 C1 AL Primary

Addresses

Primary practice location

1602 Mockingbird CT
Florence, AL 35630-1552

Mailing address

1602 Mockingbird CT
Florence, AL 35630-1552
Phone (256) 764-9533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1558814384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 MOCKINGBIRD CT",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301552",
            "telephone_number": "256-764-9533",
            "fax_number": "256-718-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 MOCKINGBIRD CT",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301552",
            "telephone_number": "256-764-9533",
            "fax_number": "256-718-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-275-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D 6089 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.