Individual provider Active NPI

Tiffany Wilson, D.D.S.

  • Dentist
  • Huntsville, AL
National Provider Identifier
1760741458
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.007431-C Issued in AL
Practice address
6140 University Dr NW Ste A1
Huntsville, AL 35806-1700
Phone
(256) 285-3420
NPI assigned
May 15, 2012
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62605 CA
Dentist 122300000X 019031978 IL
Dentist 122300000X 10938 TN
Dentist 122300000X D.007431-C AL Primary

Addresses

Primary practice location

6140 University Dr NW Ste A1
Huntsville, AL 35806-1700

Mailing address

6140 University Dr NW Ste A1
Huntsville, AL 35806-1700
Phone (256) 285-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D.007431-CALMDDentist
019031978ILMDDentist
10938TNMDDentist
62605CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentures & Implants - Alabama III, LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

6140 University Dr NW
Ste A1
Huntsville, AL 35806
Phone (256) 285-3420

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1760741458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 UNIVERSITY DR NW STE A1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061700",
            "telephone_number": "256-285-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 UNIVERSITY DR NW STE A1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061700",
            "telephone_number": "256-285-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIFFANY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62605",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031978",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10938",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007431-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.