James G Wilson DMD PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN13537 Issued in FL

Legal business name

JAMES G WILSON DMD PA

Practice address

1810 S Macdill Ave
Ste 2
Tampa, FL 33629-5901

Phone

(813) 251-0770

Fax

(813) 251-0771

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. James G Wilson, DMD

Title

President

Phone

(813) 251-0770

Specialties & licenses 1

Addresses

Other names 1

• Tampa Bay Periodontics and Implant Dentistry Doing business as

Locations

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679564405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S MACDILL AVE",
            "address_2": "STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295901",
            "telephone_number": "813-251-0770",
            "fax_number": "813-251-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S MACDILL AVE",
            "address_2": "STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295901",
            "telephone_number": "813-251-0770",
            "fax_number": "813-251-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G WILSON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-251-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN13537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James a. Haley Veterans Hospital
• James a. Haley Veterans' Hospital
• James a. Haley Vetran'S Hospital
• James Cancellari, OD, PA
• James G Hankerson PA
• James L. Greco. Jr OD
• James Michael Buscemi
• James R Patterson MD PA
• James R. Homan, D.O., Inc.
• Arthur Melvin James, M.D.

• Periodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Periodontics in Florida

• 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.