Steven L. Wilson, DDS, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6598 Issued in KS

Legal business name

STEVEN L. WILSON, DDS, LLC

Practice address

210 E 30TH Ave
Suite 140
Hutchinson, KS 67502-2475

Phone

(620) 665-5200

Fax

(620) 665-5202

NPI assigned

Nov 2, 2007

Organization subpart

No

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

• Steven L Wilson, D.D.S.

  • Periodontics
  • Hutchinson, KS
  • NPI 1528142841
  NPD (past) Authorized official

Locations

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

Authorized official

Name

Dr. Steven Lee Wilson, D.D.S.NPI 1528142841

Title

President

Phone

(620) 665-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1740469014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 30TH AVE",
            "address_2": "SUITE 140",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022475",
            "telephone_number": "620-665-5200",
            "fax_number": "620-665-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 30TH AVE",
            "address_2": "SUITE 140",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022475",
            "telephone_number": "620-665-5200",
            "fax_number": "620-665-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L. WILSON, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-665-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "6598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mikaela Renae Stevenson, LMSW
• Stephanie A Stieben, PA
• Jeremy Stokely, APRN

• All providers in Hutchinson, KS
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.