Elizabeth M. Wilson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410464 Issued in VA

Practice address

7204 Glen Forest Dr
Suite #203
Richmond, VA 23226-3782

Phone

(804) 282-7269

Fax

(804) 282-7261

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1619122843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 GLEN FOREST DR",
            "address_2": "SUITE #203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263782",
            "telephone_number": "804-282-7269",
            "fax_number": "804-282-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 GLEN FOREST DR",
            "address_2": "SUITE #203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263782",
            "telephone_number": "804-282-7269",
            "fax_number": "804-282-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Land Wilson, OTR/L
• Charles Clinton Wilson, M.D.
• Cristi S. Wilson, M.D.
• Domonique Ashleigh-Nicole Wilson, LPC
• Drew Wilson
• Emily N. Wilson, MD
• Jack J Wilson, MD
• James Henry Wilson II, MD
• Jane Marie Wilson, RN,RD,CDE,CSR
• Janice Marie Wilson, AGACNP

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.