GRAHAM H. WILSON, DDS, PA (NPI# 1689224495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689224495 |
Entity Type | Organization |
Organization Name | GRAHAM H. WILSON, DDS, PA |
Practice Address |
7971 Market Street Wilmington NC 28411-9383 |
Practice Telephone | 9103865003 |
Practice Fax Number | 9106811184 |
Mailing Telephone | 9103865003 |
Mailing Fax Number | 9106811184 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Authorized Official Name | MRS. CATHY PETERSON (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 9103865003 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Other Name | Type Code |
---|---|
Conrad and Wilson Oral and Maxillofacial Surgery | Doing Business As Name - Organization |
Street Address |
7971 MARKET STREET |
City | WILMINGTON |
State | NC |
Zip Code | 28411-9383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447744941 | Mercedes Wilkins Mclaughlin | Social Worker | 7008 Cape Harbor Dr Apt A, Wilmington, NC 28411 | 2018-06-18 |
1619480811 | Physical Therapy Services of Wilmington At Porter's Neck, LLC | Physical Therapist | 167 Porters Neck Road, Suite D, Suite D, Wilmington, NC 28411 | 2017-11-09 |
1578954970 | Erin Fitzpatrick Vasquez | Physical Therapist | 441 Biscayne Dr., Wilmington, NC 28411 | 2015-02-07 |
1679961932 | Sheena Cannady | Occupational Therapy Assistant | 7205 Savanna Run Loop, Wilmington, NC 28411 | 2015-01-08 |
1548510753 | Lindsey Tarrant Pediatric Speech Pathology Services | Speech-Language Pathologist | 7842 Olde Pond Rd, Wilmington, NC 28411 | 2012-09-14 |
1912224601 | Michele Ann Hardee | Physical Therapy Assistant | 1011 Porters Neck Road, Wilmington, NC 28411 | 2010-04-21 |
1629216577 | Plantation Village | In Home Supportive Care | 1200 Porters Neck Rd, Wilmington, NC 28411 | 2009-01-30 |
1467606095 | Dana B. Shumate Dds, Pa | Dentist | 8131 Market St, Wilmington, NC 28411 | 2008-11-10 |
1427212745 | Malgorzata Maria Betkowski | Counselor | 8044 Market Street, Suite D, Wilmington, NC 28411 | 2008-07-16 |
1366625014 | The Lawson's House | Day Training, Developmentally Disabled Services | 6622 F Gordan Rd, Wilmington, NC 28411 | 2007-12-17 |
Find all providers in zip 28411 |
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 |
---|---|---|---|---|
1912200031 | John E Hickory | Dentist | 412 Ann St, Wilmington, NC 28401-4662 | 2010-12-11 |
1184941189 | Conrad, Arne', Lombardo, & Krupa, D.d.s, P.a. | Dentist | 7971 Market St, Wilmington, NC 28411-9383 | 2010-04-29 |
1689998304 | Gregg A. Lombardo, D.d.s., P.a. | Dentist | 1510 Medical Center Drive, Wilmington, NC 28401-7506 | 2010-03-24 |
1437321296 | Brady J. Semmel, Dmd, Md, Pa | Dentist | 1422 Commonwealth Drive, Wilmington, NC 28403-0302 | 2008-04-01 |
1811174352 | Douglas F. Degroote, Dds | Dentist | 2250 Shipyard Blvd Ste 15, Wilmington, NC 28403-8070 | 2008-01-28 |
1801001516 | David Dieu | Dentist | 1202 Foulk Road, Wilmington, DE 19803 | 2007-05-14 |
1043437825 | Michael Lee Hasson | Dentist | 1221 Floral Pkwy Ste 101, Wilmington, NC 28403-6235 | 2007-04-20 |
1306971882 | Shawn Conrad | Dentist | 1510 Medical Center Dr, Wilmington, NC 28401-7506 | 2007-02-23 |
1770639171 | Michael S. Booth | Dentist | 1305 Physicians Dr., Wilmington, NC 28401-7352 | 2007-01-26 |
1558452177 | Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 1304 N Broom St, Wilmington, DE 19806-4254 | 2006-09-27 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28411 |
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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.