Kristina N Wilson DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRISTINA N WILSON DMD PLLC

Practice address

18275 N 59TH Ave Ste 150
Glendale, AZ 85308-1253

Phone

(602) 942-0623

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kristina N Wilson, DMDNPI 1154772879

Title

Dentist/Owner

Phone

(623) 293-6765

Specialties & licenses 1

Addresses

Tax ID family

Kristina N Wilson DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kristina N Wilson DMD PLLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1730937830
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Wilson, DMD

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1154772879
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1669211538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 W ANDREA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836361",
            "telephone_number": "623-293-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 150",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-942-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA N WILSON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "623-293-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kreitner
• Rachel Kreul
• Allison Leigh Krisak
• Krishna Medical PLLC
• Andrea Soltis Kristalovich, AU.D.
• Kristina N Wilson DMD PLLC
• Kristine Goto, PH.D., PLLC
• Casille Pearl Kristol
• Lorraine Diane Kritkausky, R.N.
• Monica Krogh

• Dental Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.