DR. GREGORY L WILSON (NPI# 1447386875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447386875 |
| Entity Type | Individual |
| Full Name | DR. GREGORY L WILSON |
| Credential | DDS MS |
| Practice Address |
710 Federal Drive Selmer TN 38375 |
| Practice Telephone | 7316457506 |
| Practice Fax Number | 7316455660 |
| Mailing Telephone | 7316457506 |
| Mailing Fax Number | 7316455660 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS3832 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3226180 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 0106853 | 01 |
| UNITED CONCORDIA | 792419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124371489 | Gregory Blake Wilson | Dentist | 858 Wycliffe Dr, Houston, TX 77079-3512 | 2012-10-23 |
| 1417215310 | Gregory Scott Wilson | Physical Therapy Assistant | 2581 Purdum Mill Rd, Appomattox, VA 24522-9688 | 2012-04-27 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1932399151 | Gregory Wilson | Counselor | Wramc Bldg 2room 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 | 2007-07-25 |
| 1619030996 | Gregory L Wilson | Neuromusculoskeletal Medicine & OMM | 9709 E 79th St, Tulsa, OK 74133-4566 | 2006-12-18 |
| 1740382027 | Gregory Edward Wilson | Physical Therapist | 1615 Us Highway 17, Suite 9, Young Harris, GA 30582 | 2006-09-05 |
| 1003877507 | Gregory D Wilson | Chiropractor | 633 W Main St Ste 1, Mount Pleasant, PA 15666-1846 | 2006-04-01 |
| 1215923420 | Gregory Luis Wilson | Optometrist | 1055 Tekulve Rd, Batesville, IN 47006-8979 | 2005-09-22 |
| 1124628623 | Gregory Wilson | Pharmacist | 212 Northside Dr, Bennington, VT 05201-1723 | 2020-10-26 |
| 1528444858 | Gregory Maclean Wilson | Counselor | 3625 Chapel Rd, Newtown Square, PA 19073-3602 | 2015-08-10 |
| Street Address |
710 FEDERAL DRIVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760667570 | Jason Samuel Collier | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| 1770531782 | David Petty | Pharmacist | 103 South Y Square, Selmer, TN 38375 | 2006-05-04 |
| Find all providers in zip 38375 | ||||
| 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 |
|---|---|---|---|---|
| 1689836132 | Dr. Greg L. Wilson Family Dentistry | Dentist | 710 Federal Dr, Selmer, TN 38375-1876 | 2008-06-26 |
| 1467433094 | Ron E Bell | Dentist | 718 Federal Dr, Selmer, TN 38375-1876 | 2005-11-10 |
| 1881021020 | Fullwood Dental Clinic, LLC | Dentist | 485 Mulberry Ave, Selmer, TN 38375-2307 | 2013-10-02 |
| 1760667570 | Jason Samuel Collier | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1467065326 | Kevin Melanio Corvacho | Dentist | 2854 N Main St Ste 102, Crossville, TN 38555-5413 | 2020-08-28 |
| 1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
| 1356954838 | La Vergne Dental Associates, Pllc | Dentist | 6001 Jackson Square Blvd Ste 1001, La Vergne, TN 37086-2768 | 2020-08-25 |
| 1962014399 | Jordan Evans | Dentist | 4957 Swinyar Dr Ste 111, Ooltewah, TN 37363-2205 | 2020-08-18 |
| 1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
| 1942818661 | Shelby Victoria Nelson | Dentist | 1950 Downs Blvd Ste 101, Franklin, TN 37064-1561 | 2020-07-20 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GREGORY L WILSON.
| 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.