DR. JACK A. WILSON (NPI# 1821122102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821122102 |
Entity Type | Individual |
Full Name | DR. JACK A. WILSON |
Credential | D.D.S. |
Practice Address |
2200 Interstate 20 W Ste 200 Arlington TX 76017-1649 |
Practice Telephone | 8174670727 |
Practice Fax Number | 8174652372 |
Mailing Telephone | 8174670727 |
Mailing Fax Number | 8174652372 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
9270 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114241239 | Jack H Wilson | Counselor | 11730 Highway 9 West, Stigler, OK 74462 | 2010-03-18 |
1396806519 | Jack Wilson | Pharmacist | 8823 Avenue L, Brooklyn, NY 11236-4781 | 2006-12-12 |
1790756542 | Jack Edward Wilson | Surgery | 3 Walnut St Ste 100, Lemoyne, PA 17043 | 2006-01-30 |
1518941517 | Jack Cook Wilson | Family Medicine | 612 E 9th St, Mountain Home, AR 72653-4804 | 2005-12-02 |
1356349559 | Jack Kenney Wilson Jr. | Internal Medicine | 637 S Kerr Ave, Wilmington, NC 28403-8423 | 2005-07-12 |
1043216807 | Jack Anthony Wilson | Dental Hygienist | 2654 Stacey Way, National City, CA 91950-7760 | 2005-06-24 |
1497949929 | Jack L Wilson | Dentist | 1721 S Cleveland Ave, Suite 100, Sioux Falls, SD 57103-5501 | 2007-08-28 |
1316002314 | Jack Wilson | Dentist | 12320 N 32nd St, Suite 1, Phoenix, AZ 85032-7154 | 2006-12-27 |
1598774465 | Jack W. Wilson | Dentist | 534 Luzerne St, Mount Ida, AR 71957-9449 | 2006-08-07 |
1033125299 | Jack M Wilson | Emergency Medicine | 6655 Alvarado Rd, San Diego, CA 92120-5208 | 2006-07-31 |
Street Address |
2200 INTERSTATE 20 W STE 200 |
City | ARLINGTON |
State | TX |
Zip Code | 76017-1649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609900992 | Eric M. Wilson | Dentist | 2200 Interstate 20 W Ste 200, Arlington, TX 76017-1649 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
Find all providers in zip 76017 |
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 |
---|---|---|---|---|
1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
Find all providers in ARLINGTON |
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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.