WILLIAM DARYL WILSON


Address: 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202
Phone: 2766765604

WILLIAM DARYL WILSON (NPI# 1891775193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891775193
Entity Type Individual
Full Name WILLIAM DARYL WILSON
Credential DDS
Practice Address 15068 Lee Hwy
Ste 1000 Washington Co Health Dept
Bristol
VA 24202
Practice Telephone 2766765604
Practice Fax Number 2766451994
Mailing Telephone 2766765604
Mailing Fax Number 2766451994
Enumeration Date 2006-01-20
Last Update Date 2013-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 0401005217 VA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 008450579 05

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Office Location

Street Address 15068 LEE HWY
STE 1000 WASHINGTON CO HEALTH DEPT
City BRISTOL
State VA
Zip Code 24202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114015716 Commonwealth of Virginia State Board of Health Clinic/Center 15068 Lee Hwy, Suite 900, Bristol, VA 24202-4263 2006-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568977940 Renaissance Medical Care Family Medicine 284 Blevins Boulevard, Bristol, VA 24202 2017-12-07
1467725879 Leighton W Wood Dds Ms P.C. Dentist 103 Linden Square Drive, Bristol, VA 24202 2012-02-15
1285828640 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 13249 Lee Highway, Bristol, VA 24202 2007-08-29
1154462117 Emdee Clinica, Pllc Clinic/Center 23164 Kestrel Dr, Bristol, VA 24202 2007-02-10
1053355859 Commonweatlh of Virginia State Board of Health Public Health or Welfare 15068 Lee Highway, Suite 1000, Bristol, VA 24202 2006-06-15
1457832123 Justin Scott Pennington Physical Therapist 136 Bristol East Rd, Bristol, VA 24202 2018-08-22
1588104335 Timothy G. Mcgarry, Md, Pllc Orthopaedic Surgery 21371 Forsythe Rd, Bristol, VA 24202 2017-02-27
1669532560 Washington Co Health Dept Dental Clinic Dentist 15068 Lee Highway, Suite 1000, Bristol, VA 24202 2006-12-11
1437568946 Family Preservation Services, Inc Community/Behavioral Health 7741 Rich Valley Rd, Bristol, VA 24202-0439 2014-08-08
1669948519 Jessica P. Brown Speech-Language Pathologist 4350 Gate City Hwy, Bristol, VA 24202-1204 2018-10-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629695150 Vishal Bhambri Dentist 130 Mill St, Bristol, PA 19007-4807 2020-07-01
1891356135 Esther Lee Dentist 1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009 2019-06-26
1376035741 Cody D Christian Dentist 1705 Edgemont Ave, Bristol, TN 37620-4307 2018-06-01
1396198198 Optima Dental Dentist 222 Commerce Cir, Bristol, PA 19007-3113 2016-07-15
1013328442 Victoria C. Bettis, Dds,llc Dentist 14391 Lee Hwy, Bristol, VA 24202-4319 2014-05-20
1215297023 Kelly J Perry Dentist 100 Robie Rd, Bristol, NH 03222-6063 2012-05-25
1285953653 Bristol Plaza Family Dental Dentist 1192 Farmington Ave, Unit D, Bristol, CT 06010-4752 2010-05-25
1336478882 Paul M Kotuby Jr. Dentist 15 Gooding Avenue, Suite 1, Bristol, RI 02809-2600 2009-12-11
1245471978 Pa Smile Center P.C. Dentist 1212 New Rodgers Rd, Suite A-1, Bristol, PA 19007-2512 2009-03-09
1962661223 Roger Dale Keller Dentist 1039 Highway 126, Bristol, TN 37620-3223 2008-06-03
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Competitor

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City BRISTOL
Zip Code 24202

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Dataset Information

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.

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