Wilson Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILSON FAMILY DENTISTRY, LLC

Practice address

710 Federal Dr
Selmer, TN 38375-1876

Phone

(731) 645-7506

Fax

(731) 645-5660

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Greg Alan Wilson, DDS

Title

Sole Member

Phone

(731) 610-6454

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Alan Wilson, DDS

  • Dentist
  • Selmer, TN
  • NPI 1417203555
  NPD
• Gregory L Wilson, DDS MS

  • General Practice Dentistry
  • Selmer, TN
  • NPI 1447386875
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1932902350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 FEDERAL DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751876",
            "telephone_number": "731-645-7506",
            "fax_number": "731-645-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FEDERAL DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751876",
            "telephone_number": "731-645-7506",
            "fax_number": "731-645-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "731-610-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #17551)
• Vanesssa K Warren, BSW
• Barbara Jane Weeks, LPN
• Amanda R Whirley
• Wilson Family Dentistry
• Gregory Alan Wilson, DDS
• Gregory L Wilson, DDS MS

• General Practice Dentistry in Selmer, TN
• Providers in Selmer, TN by specialty
• General Practice Dentistry in Tennessee

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