DR. VIRGINIA KELLY WILSON (NPI# 1043452055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043452055 |
| Entity Type | Individual |
| Full Name | DR. VIRGINIA KELLY WILSON |
| Credential | D.D.S |
| Practice Address |
1701 Country Club Rd Jacksonville NC 28546-6005 |
| Practice Telephone | 9103462345 |
| Practice Fax Number | 9103461332 |
| Mailing Telephone | 9103462345 |
| Mailing Fax Number | 9103461332 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6616 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457691230 | Virginia Elizabeth Wilson | Behavioral Analyst | 5509 Oatfield St, North Las Vegas, NV 89081-2979 | 2013-02-15 |
| 1750631420 | Virginia Wilson | Counselor | 1212 E Canal St, Picayune, MS 39466-4706 | 2012-09-10 |
| 1336647197 | Virginia Blue Wilson | Counselor | 7300 Hanover Green Dr Ste 100, Mechanicsville, VA 23111-1705 | 2018-01-26 |
| 1831438183 | Virginia S Wilson | Social Worker | 195 Union St Ste B1, Newark, OH 43055-3998 | 2013-02-06 |
| 1508015272 | Virginia Wilson | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2008-09-17 |
| 1629262936 | Virginia Wilson | Nurse Practitioner | 480 Glynn St N, Fayetteville, GA 30214-1192 | 2007-08-29 |
| 1093873697 | Virginia F Wilson | Physician Assistant | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-12-05 |
| 1558312900 | Virginia K Wilson | Internal Medicine | 705 S University Ave, Ste 510, Beaver Dam, WI 53916-3081 | 2006-05-12 |
| Street Address |
1701 COUNTRY CLUB RD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811088552 | Michael Josilevich | Internal Medicine | 1701 Country Club Rd, Jacksonville, NC 28546-6005 | 2006-09-27 |
| 1558800268 | Michael S. Williams Dds, Pa | Dentist | 1701 Country Club Rd, Jacksonville, NC 28546-6005 | 2017-02-14 |
| 1114198629 | James R Wilson | Dentist | 1701 Country Club Rd, Jacksonville, NC 28546-6005 | 2008-03-13 |
| 1063505949 | Onslow Ambulatory Services, Inc | Clinic/Center | 1701 Country Club Rd, Jacksonville, NC 28546-6005 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1902419864 | Andre M Fang | Dentist | 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 | 2020-08-28 |
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1093323479 | Britney Marie Cruz | Dentist | 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 | 2020-07-21 |
| 1083238786 | Sleep Better Solutions LLC | Dentist | 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 | 2020-05-29 |
| 1114550258 | James Moran | Dentist | 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 | 2020-02-18 |
| 1265075329 | Latoya Goins | Dentist | 1280 Western Blvd, Jacksonville, NC 28546-6653 | 2019-10-22 |
| 1437706462 | Stephanie Marquez | Dentist | 751 Oak St Ste 601, Jacksonville, FL 32204-3373 | 2019-08-23 |
| 1831751064 | Rachel Marie Schloth | Dentist | 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 | 2019-07-09 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1235796954 | Carolina Garcia | Dentist | 790 Skymarks Dr Ste 109, Jacksonville, FL 32218-7267 | 2019-05-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on DR. VIRGINIA KELLY WILSON.
| 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.