BRETT M WILSON (NPI# 1770101032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770101032 |
| Entity Type | Individual |
| Full Name | BRETT M WILSON |
| Credential | DDS |
| Practice Address |
2999 Corporate Ln Suffolk VA 23434-8478 |
| Practice Telephone | 7579228110 |
| Practice Fax Number | 7579228184 |
| Mailing Telephone | 7579228110 |
| Mailing Fax Number | 7579228184 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401417013 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928804 | Brett M Wilson | Nurse Practitioner | 2030 Nw 5th Ter, Cape Coral, FL 33993-7536 | 2020-09-25 |
| 1881662963 | Brett Wilson | Family Medicine | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 | 2006-03-14 |
| 1699759175 | Brett Michael Wilson | Dentist | 5227 S Main St, Ste D, Joplin, MO 64804-4916 | 2005-11-30 |
| 1194726307 | Brett Lee Wilson | Surgery | 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068-3388 | 2005-08-10 |
| 1720645518 | Brett Wilson | Behavior Technician | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-28 |
| 1265818918 | Brett Wilson | Physical Therapy Assistant | 6106 Health Center Ln, Fredericksburg, VA 22407-6687 | 2015-08-05 |
| 1386025963 | Brett Allen Wilson | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2015-06-09 |
| 1164839031 | Brett Wilson | Nurse Practitioner | 541 State Route 664 N, Suite C, Logan, OH 43138-8541 | 2014-07-12 |
| 1922390947 | Brett Lonnis Wilson | Counselor | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2011-05-10 |
| 1780601252 | Brett Wilson II | Emergency Medicine | 300 W Pueblo St, Santa Barbara, CA 93105-4311 | 2006-07-17 |
| Street Address |
2999 CORPORATE LN |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992006449 | Lynne C. Faxio, Dds, P.C. | Dentist | 2999 Corporate Ln, Suite B11, Suffolk, VA 23434-8478 | 2010-11-14 |
| 1457897431 | All Kids Dental of Suffolk PC | Dentist | 2999 Corporate Ln, Suite B-8, Suffolk, VA 23434-8478 | 2017-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1205202256 | Brian Gene Briesemeister Jr. | Dentist | 5501 Bennetts Pasture Rd, Suffolk, VA 23435-1500 | 2015-08-13 |
| 1841605722 | Whitney Bailey Gwaltney | Dentist | 2486 Pruden Blvd., Suffolk, VA 23434 | 2014-06-30 |
| 1992006449 | Lynne C. Faxio, Dds, P.C. | Dentist | 2999 Corporate Ln, Suite B11, Suffolk, VA 23434-8478 | 2010-11-14 |
| 1588810139 | Lynne Carol Faxio | Dentist | 2999 Corporate Lane Ste B11, Suffolk, VA 23435-3572 | 2008-08-14 |
| 1962678839 | Bowman R Browne Dds PC | Dentist | 5705 Lee Farm Lane, Suite B, Suffolk, VA 23435 | 2008-05-01 |
| 1619180114 | Timothy Ferramosca | Dentist | 5501 Bennetts Pasture Rd # Stdd, Suffolk, VA 23435-1500 | 2007-05-08 |
| 1194948539 | Christopher Oswald | Dentist | 5113 Gleneagles Way, Suffolk, VA 23435-4206 | 2007-04-11 |
| 1437293941 | Charles H Rawls Jr. | Dentist | 2900 Godwin Boulevard, Suffolk, VA 23434 | 2007-02-16 |
| 1407922644 | Estelito Moreno Santos Jr. | Dentist | 5849 Harbour View Blvd, Suite 100, Suffolk, VA 23435-3768 | 2006-11-28 |
| Find all providers in SUFFOLK | ||||
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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.