Organization Active NPI

Deborah a Wilson DDS PA

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1679658603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07868 Issued in MD
Legal business name
DEBORAH A WILSON DDS PA
Practice address
7130 Minstrel Way
Suite 210
Columbia, MD 21045
Phone
(410) 381-4701
Fax
(410) 381-2501
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Aryann Wilson, DDS
Title
President
Phone
(410) 381-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 07868 MD Primary

Addresses

Primary practice location

7130 Minstrel Way
Suite 210
Columbia, MD 21045

Mailing address

7130 Minstrel Way
Suite 210
Columbia, MD 21045
Phone (410) 381-4701

National Provider Directory

National Provider Directory

Locations

7130 Minstrel Way
Ste 210
Columbia, MD 21045
Phone (410) 381-4701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679658603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-381-4701",
            "fax_number": "410-381-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-381-4701",
            "fax_number": "410-381-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A WILSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ARYANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-381-4701",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "07868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • 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.