Corey W. Wilson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6123 Issued in NC

Legal business name

COREY W. WILSON DDS PA

Practice address

427 Meadowmont Village Cir
Chapel Hill, NC 27517-7506

Phone

(919) 969-9330

Fax

(919) 969-2774

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Corey Wayne Wilson, DDS

Title

Owner

Phone

(919) 969-9330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meadowmont Dentistry Doing business as

Locations

Practitioners 2

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

• Kenneth Mason Black, DDS

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1689793101
  NPD (past)
• Jerre L Kennedy, DDS

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1841319399
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1811084072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MEADOWMONT VILLAGE CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177506",
            "telephone_number": "919-969-9330",
            "fax_number": "919-969-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MEADOWMONT VILLAGE CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177506",
            "telephone_number": "919-969-9330",
            "fax_number": "919-969-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY W. WILSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-969-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7990772",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowmont Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giselle M Corbie, MD
• Katherine Joy Corbin, NCC, LCMHCA
• Michael Allan Corbin II
• Glendaly Cordero, CCC-SLP
• Core4 Psychology, PLLC
• Morgan Corkish, PHARMD
• Sarah Corley, M.D.
• Corner Stone Residential Care, LLC
• Joseph Allen Cornett
• Hannah Leigh Cornman, MD

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.