Wilson Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7355 Issued in CO

Legal business name

WILSON FAMILY DENTISTRY PC

Doing business as

Richard L Wilson DDS

Practice address

102 Half 18TH St
Durango, CO 81301

Phone

(970) 247-5565

Fax

(970) 247-8988

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Lyman Wilson, DDS

Title

Dentist

Phone

(970) 247-5565

Specialties & licenses 1

Addresses

Other names 1

• Richard L Wilson DDS Doing business as

Locations

Practitioners 2

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

• William Earl Lacey Jr., DMD

  • Dentist
  • Durango, CO
  • NPI 1265463673
  NPD (past)
• Holly D Sharp

  • Dentist
  • Durango, CO
  • NPI 1003039579
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669548319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HALF 18TH ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-247-5565",
            "fax_number": "970-247-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HALF 18TH ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-247-5565",
            "fax_number": "970-247-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LYMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-247-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard L Wilson DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Williams, LCSW, LAC
• Sarah Williams, ATC
• William Thomas Williams, MD
• Sierra R Williamsen, LPC
• Grace Jenae Willow Britt, MA, LPC, NCC, ACHT
• Brittny L. Wilson, RDH
• Daniel G Wilson, MA
• Heather Rene Wilson, BS, BCABA
• Lindsay Denise Wilson, BC-HIS
• Paige Wilson

• Dental Clinic/Center in Durango, CO
• Providers in Durango, CO by specialty
• Dental Clinic/Center in Colorado

• 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.