MR. JAMES L WILSON (NPI# 1184680134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184680134 |
| Entity Type | Individual |
| Full Name | MR. JAMES L WILSON |
| Credential | DMD |
| Practice Address |
207 W Front St Liberty SC 29657-1009 |
| Practice Telephone | 8648433742 |
| Practice Fax Number | 8648433744 |
| Mailing Telephone | 8648433742 |
| Mailing Fax Number | 8648433744 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3144 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z31449 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1396246617 | James Wilson | Home Health Aide | 2052 Miles Woods Dr, Cincinnati, OH 45231-2150 | 2018-02-22 |
| 1942712781 | James Wilson | Technician | 41 Underwood St Nw, Washington, DC 20012-2115 | 2017-11-02 |
| 1366992158 | James Earl Wilson | Licensed Practical Nurse | 62 W Garden Dr, Rochester, NY 14606-4707 | 2016-10-05 |
| 1013463520 | James Wilson | Specialist/Technologist | 2117 Franklin Dr, North Augusta, SC 29841-9263 | 2016-08-26 |
| 1013360270 | James Wilson | Specialist/Technologist | 1001 E Fm 2410 Rd, Harker Heights, TX 76548-6845 | 2016-07-22 |
| 1134516644 | James Wilson | Occupational Therapy Assistant | 3903 Whirlwind St, Bryant, AR 72022-6710 | 2015-04-22 |
| 1205268000 | James William Wilson | Massage Therapist | 8219 River Country Dr, Weeki Wachee, FL 34607-2137 | 2013-08-02 |
| 1083050850 | James R Wilson | Physical Medicine & Rehabilitation | 4229 Pearl Rd # N2.42, Cleveland, OH 44109-4218 | 2013-05-20 |
| Street Address |
207 W FRONT ST |
| City | LIBERTY |
| State | SC |
| Zip Code | 29657-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154605624 | Bright Smile Center - Liberty, Pa | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2011-10-03 |
| 1932376035 | Liberty Dental Care, Inc. | Clinic/Center | 207 W Front St, Liberty, SC 29657-1009 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508233206 | Healing Grace Childbirth Services, LLC | Doula | 306 Burgess Rd, Liberty, SC 29657 | 2015-08-28 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1336499706 | Waiyung Florence Ho | Pharmacist | 305 W.main Street, Liberty, SC 29657 | 2012-09-13 |
| 1679822639 | Jennifer Andrews Letourneau | Pharmacist | 305 W.main St, Liberty, SC 29657 | 2012-09-06 |
| 1912256025 | Freddie Honchar | Pharmacist | 429 East Main Street, Liberty, SC 29657 | 2012-09-05 |
| 1720096704 | Emerson Wiggins Rabon Jr. | Dentist | 1074 Anderson Dr, Liberty, SC 29657 | 2006-08-04 |
| 1811476013 | Kathryn Juanita Morrow | Nurse Practitioner | 300 W Front St, Liberty, SC 29657 | 2018-08-08 |
| 1245370543 | Active Sc Two, Inc. | Clinic/Center | 315 W Front St, Liberty, SC 29657-1011 | 2007-02-07 |
| 1659793651 | Kelcye Yates Richards | Physician Assistant | 300 West Front Street, Liberty, SC 29657-1012 | 2014-01-09 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| Find all providers in zip 29657 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345330 | Ryan Holbrook Dds LLC | Dentist | 1504 N Church Rd Ste A, Liberty, MO 64068-7163 | 2020-04-17 |
| 1790239283 | Lauren David | Dentist | 211 Regal Ln, Liberty, TX 77575-3176 | 2016-08-12 |
| 1285901264 | Laura B Scott | Dentist | 428 Hustonville St, Liberty, KY 42539-3140 | 2011-11-19 |
| 1841586955 | David Alexander Mitts | Dentist | 105 N Stewart Ct Ste 140, Liberty, MO 64068-1397 | 2011-06-27 |
| 1972741288 | Philip E Olsen | Dentist | 68 Academy St, Liberty, NY 12754-4705 | 2009-01-23 |
| 1770736357 | Douglas M. Triplett Ddspc | Dentist | 1129 W Kansas St Ste C, Liberty, MO 64068-2297 | 2008-10-28 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1730387655 | Lee Daniel Casey | Dentist | 162 S Broad St, Liberty, MS 39645-8059 | 2007-07-03 |
| 1396954012 | Albert Lindsay Delaney | Dentist | 1917 Cos St, Liberty, TX 77575-4801 | 2007-05-21 |
| 1376672931 | Douglas Martin Triplett | Dentist | 1129c W Kansas, Liberty, MO 64068 | 2007-03-02 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.