DR. ANDREA LYNN WILSON (NPI# 1134431729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134431729 |
| Entity Type | Individual |
| Full Name | DR. ANDREA LYNN WILSON |
| Credential | D.M.D. |
| Practice Address |
306 4th St N Fargo ND 58102-4820 |
| Practice Telephone | 7012713344 |
| Mailing Telephone | 7012713344 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D12854 | MN | Dental Providers |
| Y | 122300000X | Dentist | 2076 | ND | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659847150 | Andrea Margaret Wilson | Registered Nurse | 8221 Royal Scarlet Dr, Baldwinsville, NY 13027-8942 | 2018-10-23 |
| 1912494923 | Andrea Sherrell Wilson | Non-emergency Medical Transport (VAN) | 5339 Arbor Pl, Williamsburg, VA 23188-2469 | 2018-04-16 |
| 1326590944 | Andrea Wilson | In Home Supportive Care | 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 | 2016-10-31 |
| 1447603493 | Andrea Wilson | Counselor | 4115 W Adams St, Chicago, IL 60624-2702 | 2016-07-14 |
| 1194196618 | Andrea Wilson | Health Educator | 100 North Washington St., Station 14, Livingston, AL 35470 | 2015-10-09 |
| 1396169306 | Andrea Wilson | Nurse's Aide | 18519 Egret Bay Blvd Apt 1610, Houston, TX 77058-3280 | 2014-02-11 |
| 1891047833 | Andrea Wilson | Behavioral Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2012-10-14 |
| 1609172253 | Andrea Michelle Wilson | Doula | 2915 N Texas St, 150, Fairfield, CA 94533-1291 | 2011-01-30 |
| 1871812586 | Andrea M Wilson | Licensed Practical Nurse | 772 Smiley Ave, Cincinnati, OH 45240-1948 | 2010-05-19 |
| 1265596530 | Andrea Gibbs Wilson | Counselor | 5950 N Oak Trfy Ste 104, Gladstone, MO 64118-5164 | 2006-12-21 |
| Street Address |
306 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153905 | Jay R Metzger | Physician Assistant | 306 4th St N, Fargo, ND 58102-4820 | 2005-06-13 |
| 1174893879 | Jill Mcmullen | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2012-01-11 |
| 1861637852 | Randy C Swingen | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2008-12-05 |
| 1619137551 | Joanna Brekhus | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2008-06-13 |
| 1437353406 | Lacee Janelle Steinberger | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2007-06-13 |
| 1336366798 | Bonnie Anderson | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2007-04-19 |
| 1407921919 | Robert E Hackley Jr. | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-21 |
| 1053480277 | William Savage | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-06 |
| 1942379060 | Terrence L Johnson | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-06 |
| 1295804334 | Jeremy P Wehrman | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1124513668 | Casey Alexander Mclachlan | Dentist | 1383 21st Ave N Ste B, Fargo, ND 58102-1841 | 2018-06-27 |
| 1033617238 | Saving Smiles Denistry | Dentist | 3210 18th St S Ste B, Fargo, ND 58104-6789 | 2018-01-23 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1023469723 | Stacey Nygaard | Dentist | 3170 44th St S Unit 100, Fargo, ND 58104-8596 | 2016-06-24 |
| 1114308285 | Advanced Dental Technologies Center | Dentist | 827 28th St S Ste A, Fargo, ND 58103-8727 | 2015-06-15 |
| 1740660059 | Krista Johnson | Dentist | 1650 45th St S, Ste 108, Fargo, ND 58103-3246 | 2015-06-02 |
| 1073860128 | Stacy L Seaborn | Dentist | 1324 - 23rd St. S, Ste 1a, Fargo, ND 58103-3702 | 2012-08-08 |
| 1649560392 | Lucas Sandman | Dentist | 2217 University Dr N, Fargo, ND 58102-1817 | 2011-04-14 |
| 1598076119 | Bethany L. Baillargeon Marx | Dentist | 3170 44th Street South, Suite 100, Fargo, ND 58104 | 2010-06-29 |
| Find all providers in FARGO | ||||
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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.