DR. GREGORY BLAKE WILSON


Address: 858 Wycliffe Dr, Houston, TX 77079-3512
Phone: 7134681513

DR. GREGORY BLAKE WILSON (NPI# 1124371489) 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) 1124371489
Entity Type Individual
Full Name DR. GREGORY BLAKE WILSON
Credential DDS.MS
Practice Address 858 Wycliffe Dr
Houston
TX 77079-3512
Practice Telephone 7134681513
Practice Fax Number 2812132756
Mailing Telephone 7134681513
Mailing Fax Number 2812132756
Enumeration Date 2012-10-23
Last Update Date 2012-10-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 17832 TX Dental Providers

Other Providers GREGORY WILSON

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1447386875 Gregory L Wilson Dentist 710 Federal Drive, Selmer, TN 38375 2007-02-27
1619030996 Gregory L Wilson Neuromusculoskeletal Medicine & OMM 9709 E 79th St, Tulsa, OK 74133-4566 2006-12-18
1740382027 Gregory Edward Wilson Physical Therapist 1615 Us Highway 17, Suite 9, Young Harris, GA 30582 2006-09-05
1003877507 Gregory D Wilson Chiropractor 633 W Main St Ste 1, Mount Pleasant, PA 15666-1846 2006-04-01
1215923420 Gregory Luis Wilson Optometrist 1055 Tekulve Rd, Batesville, IN 47006-8979 2005-09-22
1124628623 Gregory Wilson Pharmacist 212 Northside Dr, Bennington, VT 05201-1723 2020-10-26
1528444858 Gregory Maclean Wilson Counselor 3625 Chapel Rd, Newtown Square, PA 19073-3602 2015-08-10

Office Location

Street Address 858 WYCLIFFE DR
City HOUSTON
State TX
Zip Code 77079-3512

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982213542 Apg Ancillaries LLC Durable Medical Equipment & Medical Supplies 14811 Saint Marys Ln Ste 152, Houston, TX 77079 2020-07-29
1982244174 Agatha Nwosu Registered Nurse 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 2020-01-15
1164924650 Victoria Okon Licensed Vocational Nurse 14461 Still Meadow Dr., Houston, TX 77079 2018-03-01
1649711623 Deon Flenoy Case Manager/Care Coordinator 14027 Memorial Dr # 419, Houston, TX 77079 2017-03-10
1396298428 Supriya Krishnan Optometrist 14634 Memorial Dr, Houston, TX 77079 2016-07-25
1942670401 Medfast Pediatric & Family Clinic Nurse Practitioner 14520 Old Katy Rd, St 109, Houston, TX 77079 2015-09-28
1558742106 Evan Christopher Adams Dentist 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 2015-06-09
1114313152 Yun Li Internal Medicine 13140 Trail Hollow Dr, Houston, TX 77079 2015-04-07
1629460308 Michelle Maligaya Registered Nurse 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 2015-03-04
1144611989 Ryan M Keutzer Hearing Instrument Specialist 12900 Queensbury Ln #100, Houston, TX 77079 2015-02-16
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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
1114525581 Ashley Roy Dentist 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 2020-10-16
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1982218673 Marissa Fernandez Dentist 3527 Ozark St, Houston, TX 77021-1209 2020-09-01
1568075943 Omar Fawzi Ismael Dentist 909 Dairy Ashford Rd Ste 109, Houston, TX 77079-5306 2020-08-26
1972115830 Diana Dental Pllc Dentist 8619 Richmond Ave Ste 700, Houston, TX 77063-5688 2020-08-20
1861002388 Safa Nawazish Dentist 9000 Almeda Rd Apt 9107, Houston, TX 77054-4341 2020-08-10
1568088524 Smile Squad of Houston Shepherd Pllc Dentist 3800 N Shepherd Dr Ste 3-a, Houston, TX 77018-6400 2020-06-24
1063037646 Veterans Dental Center Dentist 10403 Lark Rdg, Houston, TX 77070-4875 2020-06-10
1841814738 Texas Dental Associates, Pa Dentist 5230 Buffalo Speedway, Houston, TX 77005-4204 2020-06-05
1750910659 Ph Dentistry, PC Dentist 17619 Fm 529 Rd, Houston, TX 77095-1003 2020-04-03
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Competitor

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City HOUSTON
Zip Code 77079

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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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