DR. BRUCE TAYLOR WILSON (NPI# 1346294063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346294063 |
| Entity Type | Individual |
| Full Name | DR. BRUCE TAYLOR WILSON |
| Credential | D.M.D. |
| Practice Address |
123 N 19th Street Middlesboro KY 40965-1786 |
| Mailing Address |
Po Box 1786 Middlesboro KY 40965-3786 |
| Practice Telephone | 6062481808 |
| Practice Fax Number | 6062481803 |
| Mailing Telephone | 6062481808 |
| Mailing Fax Number | 6062481803 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5811 | KY | Dental Providers |
| X | 204E00000X | Oral & Maxillofacial Surgery | 5811 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64058118 | 05 | |
| KY | 60058112 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530551 | Bruce Allen Wilson Jr. | Counselor | 6821 Yakima Ave, Tacoma, WA 98408-5514 | 2018-06-04 |
| 1801049556 | Bruce Wayne Wilson Jr. | Military Health Care Provider | Uss Nashville, Lpd 13, Fpo, AE 09579-1715 | 2008-10-28 |
| 1962561290 | Bruce T Wilson | Dentist | 322 Hwy 18, Manila, AR 72442 | 2006-12-06 |
| 1295826857 | Bruce Edward Wilson | Internal Medicine | 925 Stevens Dr Ste 2e, Richland, WA 99352-3523 | 2006-09-27 |
| 1538188032 | Bruce Edward Wilson | Nurse Anesthetist, Certified Registered | 3840 Fairway Dr, Lapeer, MI 48446-4302 | 2006-07-18 |
| 1295289387 | Bruce Alan Wilson | Pharmacist | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2016-08-07 |
| 1457667487 | Bruce Leonard Wilson | Internal Medicine | 2073 Klockner Raod, Hamilton, NJ 08690 | 2010-08-27 |
| 1548313281 | Bruce Leslie Wilson | Psychologist | 153 E Main St, Suite E, Mount Kisco, NY 10549-2317 | 2007-01-18 |
| 1982761565 | Bruce A. Wilson | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
| 1093767667 | Bruce Wilson | Physician Assistant | 320 Jefferson St, Whiteville, NC 28472-3602 | 2006-05-16 |
| Street Address |
123 N 19TH STREET |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396924544 | Bruce T. Wilson,d.m.d., Psc | Dentist | 123 N 19th St, Middlesboro, KY 40965-2865 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1023510518 | Ralph M. Green Medical Pllc | Dentist | 3809 Poplar Level Rd Ste B, Louisville, KY 40213-1429 | 2018-03-01 |
| 1982058590 | Heine, Heine and Bowles, Pllc | Dentist | 2850 Lone Oak Rd Ste 5, Paducah, KY 42003-8043 | 2016-04-20 |
| 1326400789 | Corey Alan Taylor | Dentist | 800 Rose St # D-538, Lexington, KY 40536-7001 | 2016-03-24 |
| 1689060808 | Brandyn Herman | Dentist | Uk Dentistry At Turfland, 2195 Harrodsburg Rd, Ste 175, Lexington, KY 40536 | 2015-04-14 |
| 1619243268 | William J Curtis | Dentist | 800 Rose St Rm D508, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 | 2012-03-28 |
| 1558651554 | Robbie James Harris IIi | Dentist | 4975 Alben Barkley Dr Ste 4, Paducah, KY 42001-6722 | 2011-04-11 |
| 1053541219 | Andrew William Ray | Dentist | 2421 Gooseberry Cir, Lexington, KY 40509-8567 | 2009-07-22 |
| 1407096639 | Charles William Langford Jr. | Dentist | 445 Stableford Cir, Owensboro, KY 42303-7771 | 2009-02-27 |
| 1477707784 | Nuckols & Cohron, P.s.c. | Dentist | 627 Eastwood St, Bowling Green, KY 42103-1688 | 2008-11-13 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.