NPIMap

Individual provider Active NPI

Thomas Benedict Wilson I, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenwich, CT
National Provider Identifier
1649298944
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
049719-1 Issued in NY
Practice address
4 Dearfield Dr Ste G-1
Greenwich, CT 06831-5351
Phone
(203) 661-5858
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 049719-1 NY Primary

Addresses

Primary practice location

4 Dearfield Dr Ste G-1
Greenwich, CT 06831-5351

Mailing address

4 Dearfield Dr Ste G-1
Greenwich, CT 06831-5351
Phone (203) 661-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 6, 2018 through Sep 6, 2026

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Columbia University College of Physicians and Surgeons, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 Maple Ave
Greenwich, CT 06830-5620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049719-1NYMDOral and Maxillofacial Surgery (Dentist)
049719NYMDPharmacist

Interoperability endpoints

  • Direct secure messaging: twilson9923@direct.ynhh.org
  • Direct secure messaging: thw9004@direct.nyp.org

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1649298944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR STE G-1",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "203-661-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR STE G-1",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "203-661-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "THOMAS",
        "middle_name": "BENEDICT",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS,MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.