NPIMap

Organization Active NPI

Ronald E. Wilson, D.D.S.,P.C.

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1609909654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7823 Issued in GA
Legal business name
RONALD E. WILSON, D.D.S.,P.C.
Practice address
1295 Terrell Mill Rd SE
Suite 102
Marietta, GA 30067-9438
Phone
(770) 952-5200
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Adrienne A. Wilson
Title
Sec. Treas.
Phone
(770) 433-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7823 GA Primary

Addresses

Primary practice location

1295 Terrell Mill Rd SE
Suite 102
Marietta, GA 30067-9438

Mailing address

2267 Edgartown LN SE
Smyrna, GA 30080-6575
Phone (770) 433-2820

National Provider Directory

National Provider Directory

Locations

1295 Terrell Mill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 952-5200

Practitioners & affiliated clinicians

Practitioners 4

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609909654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 EDGARTOWN LN SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806575",
            "telephone_number": "770-433-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 TERRELL MILL RD SE",
            "address_2": "SUITE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679438",
            "telephone_number": "770-952-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E. WILSON, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SEC. TREAS.",
        "authorized_official_telephone_number": "770-433-2820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.