Richard a. Wilson, DDS, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RICHARD A. WILSON, DDS, P.A.

Practice address

3828 W Davis St
Conroe, TX 77304-1815

Phone

(936) 756-9015

Fax

(936) 756-7098

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Richard Wilson, DDS

Title

Owner

Phone

(936) 756-9015

Specialties & licenses 1

Addresses

Tax ID family

Richard a Wilson DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richard a. Wilson, DDS, PA

  • Point of Service
  • Conroe, TX
  • NPI 1326587767
  NPD tax ID

Locations

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1770881401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041815",
            "telephone_number": "936-756-9015",
            "fax_number": "936-756-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041815",
            "telephone_number": "936-756-9015",
            "fax_number": "936-756-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. WILSON, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-756-9015",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard a. Wilson, DDS, PA
• Richard E. Allen, D.D.S., Inc.
• Richard Earle Collier MD PA (Richard Earle Collier, Jr., M.D., P.A.)
• Derrick Richard Jr.
• John Mark Richards, D.D.S.

• Dentist in Conroe, TX
• Providers in Conroe, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.