Natasha Wilson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000009326 Issued in TN

Practice address

8180 Mall Pkwy Ste 810
Lithonia, GA 30038-6911

Phone

(770) 484-4994

Fax

(770) 484-4575

NPI assigned

Jun 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Dental Safari LTD

  • General Practice Dentistry
  • Snellville, GA
  • NPI 1720677784
  NPD Authorized official
• Childrens Dentistry at Stonecrest

  • Pediatric Dentistry
  • Lithonia, GA
  • NPI 1790046464
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992092738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 MALL PKWY STE 810",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386911",
            "telephone_number": "770-484-4994",
            "fax_number": "770-484-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 MALL PKWY STE 810",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386911",
            "telephone_number": "770-484-4994",
            "fax_number": "770-484-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NATASHA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000009326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bria Alexia Wilson
• Christie Wilson
• Eric Wilson, MD
• Julia Anne Wilson, M.D
• Kenya Wilson, RN
• Tyquine Wilson
• Tasia Winans, MT
• Sonya Lynnette Windham, DMD
• Wisteria D Hendricks Dba S&S
• Lisa J Wolfgang, RN

• Dentist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.