David W. Wilson, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID W. WILSON, DMD, LLC

Practice address

1008 Boll Weevil Cir Ste D
Enterprise, AL 36330-3400

Phone

(334) 417-0110

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David W. Wilson, DMD

Title

Owner

Phone

(334) 417-0110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1629552369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BOLL WEEVIL CIR STE D",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303400",
            "telephone_number": "334-417-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BOLL WEEVIL CIR STE D",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303400",
            "telephone_number": "334-417-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. WILSON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-417-0110",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Marie Daniels
• Chelsea Leigh Dankert
• Samantha Dansby, LPC
• Abigale Daugherty
• David H. Hayes, M.D., L.L.C.
• Anna Lee Davis-Pope
• Christine Coleman Davis, MS
• Sharon Kaye Davis, MD
• Jayla Dawkins
• Tanesha K Dawkins

• General Practice Dentistry in Enterprise, AL
• Providers in Enterprise, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.