DR. GREGG W WILSON (NPI# 1659337061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659337061 |
Entity Type | Individual |
Full Name | DR. GREGG W WILSON |
Credential | DMD |
Practice Address |
841 Hospital Rd Ste 2700 Indiana PA 15701 |
Practice Telephone | 7243496483 |
Practice Fax Number | 7243496565 |
Mailing Telephone | 7243496483 |
Mailing Fax Number | 7243496565 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS022854L | PA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164516225 | Gregg A Wilson | Dentist | 10497 Garverdale Court, Suite 107, Boise, ID 83704 | 2006-10-03 |
1043353048 | Gregg Wilson | Case Manager/Care Coordinator | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-15 |
Street Address |
841 HOSPITAL RD STE 2700 |
City | INDIANA |
State | PA |
Zip Code | 15701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376548875 | James Alan Nesper | Ophthalmology | 841 Hospital Rd, Ste 2100, Indiana, PA 15701-3635 | 2005-06-20 |
1891099636 | Indiana Regional Medical Center - Crna-iasa | Anesthesiology | 841 Hospital Rd, Indiana, PA 15701-3620 | 2011-01-10 |
1801000435 | Nazneen R. Billimoria | Surgery | 841 Hospital Rd, Suite 3100, Indiana, PA 15701-3620 | 2007-05-10 |
1578570057 | Thomas Jeffrey Seifert | Pharmacist | 841 Hospital Rd, Diamond Drugs, Indiana, PA 15701-3564 | 2006-08-01 |
1063446649 | Peggy Hill | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
1417981085 | Michele J Johnston | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
1760416333 | Mary A Miller | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
1013940402 | Dialysis Clinic Inc. | Clinic/Center | 841 Hospital Rd, Suite 3500, Indiana, PA 15701-3620 | 2006-07-08 |
1528014909 | Mark E. Boykiw, M.d. | Specialist | 841 Hospital Rd, Suite 3100, Indiana, PA 15701-3620 | 2006-05-26 |
1548215353 | Leonard Eric Maliver | Urology | 841 Hospital Rd, Suite 2400, Indiana, PA 15701-3620 | 2006-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
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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 |
---|---|---|---|---|
1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
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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.