J CALVIN WILSON (NPI# 1235286493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235286493 |
| Entity Type | Individual |
| Full Name | J CALVIN WILSON |
| Credential | DDS |
| Practice Address |
317 E North Ave Flora IL 62839-2040 |
| Practice Telephone | 6186626907 |
| Practice Fax Number | 6186627135 |
| Mailing Telephone | 6186626907 |
| Mailing Fax Number | 6186627135 |
| Enumeration Date | 2007-01-03 |
| 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 |
019023059 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881722395 | J Stephen Wilson | Dentist | 4208 Jenny Lind Rd, Fort Smith, AR 72901-7660 | 2007-02-28 |
| 1386696623 | J Patrick Wilson | Counselor | 322 Heymann Blvd, Bldg. B, Ste. 4, Lafayette, LA 70503-2465 | 2006-05-16 |
| 1932151396 | J Frank Wilson | Radiology | 9200 W Wisconsin Ave, Department of Radiation Oncology, Milwaukee, WI 53226-3522 | 2006-05-16 |
| Street Address |
317 E NORTH AVE |
| City | FLORA |
| State | IL |
| Zip Code | 62839-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912057258 | J. Calvin Wilson, Dds, PC | Clinic/Center | 317 E North Ave, Flora, IL 62839-2040 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| 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 |
|---|---|---|---|---|
| 1992914907 | Jerry W Eckart | Dentist | 1860 E Oak St, Flora, IN 46929-1446 | 2007-05-22 |
| 1689897555 | Steven Lawrence Herr | Dentist | 607 W Columbia St, Flora, IN 46929-9212 | 2007-04-10 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1831251313 | Brian Wagoner | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2006-12-14 |
| 1962579581 | Harry W Jones | Dentist | 905 E Columbia St, Flora, IN 46929-1414 | 2006-11-29 |
| 1215047717 | Clinton Harlan Whittington II | Dentist | 4856 Main St, Flora, MS 39071-1701 | 2006-08-30 |
| 1770696486 | The Denture Place, Inc. | Dentist | 5 Excutive Dr, Flora, IN 47905 | 2006-08-16 |
| 1528042801 | Brad Anthony Franklin | Dentist | 106 Central Blvd, Flora, MS 39071-8003 | 2005-12-01 |
| 1215922018 | Stephen W. Barber | Dentist | 232 E 2nd St, Flora, IL 62839-2003 | 2005-09-18 |
| 1144696410 | Hari Priya Anne | Dentist | 501 N Main St, Flora, IL 62839-1405 | 2015-08-20 |
| Find all providers in FLORA | ||||
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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.