Organization Active NPI

Doctors Wilson and Kelly, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
National Provider Identifier
1689224495
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DOCTORS WILSON AND KELLY, PLLC
Practice address
7320 Market St
Wilmington, NC 28411-9881
Phone
(910) 386-5003
Fax
(910) 681-1184
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Mrs. Graham H Wilson, DDSNPI 1447511159
Title
Owner-Majority
Phone
(910) 386-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

7320 Market St
Wilmington, NC 28411-9881

Mailing address

7320 Market St
Wilmington, NC 28411-9881
Phone (910) 386-5003

Other names 1

  • Shoreline Oral and Facial Surgery Associates Doing business as

National Provider Directory

National Provider Directory

Locations

7320 Market St
Wilmington, NC 28411
Phone (910) 386-5003

7971 Market St
Wilmington, NC 28411
Phone (910) 386-5056

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1689224495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119881",
            "telephone_number": "910-386-5003",
            "fax_number": "910-681-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119881",
            "telephone_number": "910-386-5003",
            "fax_number": "910-681-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS WILSON AND KELLY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-05-27",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER-MAJORITY",
        "authorized_official_telephone_number": "910-386-5003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Oral and Facial Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.