Michael T. Wilson, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6100 Issued in NC

Legal business name

MICHAEL T. WILSON, DDS, PA

Practice address

9620 Holly Point Dr
Suite 202
Huntersville, NC 28078-4949

Phone

(704) 892-7866

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly S. Wilson

Title

Office Assistant

Phone

(704) 892-7866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912117615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 HOLLY POINT DR",
            "address_2": "SUITE 202",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784949",
            "telephone_number": "704-892-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 HOLLY POINT DR",
            "address_2": "SUITE 202",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784949",
            "telephone_number": "704-892-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. WILSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "704-892-7866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Huntersville, NC
• Providers in Huntersville, 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 Aug 22, 2020; 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.