DR. GARY TRENT WILSON JR. (NPI# 1447581269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447581269 |
| Entity Type | Individual |
| Full Name | DR. GARY TRENT WILSON JR. |
| Credential | D.D.S. |
| Practice Address |
6250 Poplar Ave Memphis TN 38119-4713 |
| Practice Telephone | 9016810011 |
| Practice Fax Number | 9016819725 |
| Mailing Telephone | 9016810011 |
| Mailing Fax Number | 9016819725 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS8561 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079572 | Gary Wilson | Chiropractor | 23701 Carlson Ct, Hayward, CA 94541-4592 | 2015-07-23 |
| 1164589743 | Gary L Wilson | Dentist | 1355 N University Ave Ste 310, Provo, UT 84604-2721 | 2007-01-02 |
| 1518953603 | Gary M Wilson | Social Worker | 304 W Will Rogers Blvd, Claremore, OK 74017-7022 | 2005-09-23 |
| 1285635946 | Gary Alan Wilson | Dentist | Highway 264, Milepost 388, Polacca, AZ 86042-6042 | 2005-08-03 |
| 1215933056 | Gary A Wilson | Surgery | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 | 2005-06-27 |
| 1386261220 | Gary Anthony Wilson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-06-26 |
| 1962844522 | Gary Mark Wilson | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2013-07-24 |
| 1972882660 | Gary A Wilson | Case Manager/Care Coordinator | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2011-08-11 |
| 1578708137 | Gary K Wilson | Physical Therapist | 3195 Calder St, Ste 201, Beaumont, TX 77702-1425 | 2008-12-11 |
| 1225257355 | Gary Wilson | Dentist | 715 W Wheatland Rd, Duncanville, TX 75116-4520 | 2007-04-25 |
| Street Address |
6250 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060509 | Kathryn Mercer Boyd | Dentist | 6250 Poplar Ave, Memphis, TN 38119-4713 | 2020-07-15 |
| 1679067375 | Kenneth Groshart II | Dentist | 6250 Poplar Ave, Memphis, TN 38119-4713 | 2018-06-18 |
| 1528477536 | Adam Fitzhugh | Dentist | 6250 Poplar Ave, Memphis, TN 38119-4713 | 2014-08-05 |
| 1295099224 | Julia Ann Prince | Dentist | 6250 Poplar Ave, Memphis, TN 38119-4713 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1669016796 | John Jafarian | Dentist | Department of Periodontology 875 Union Avenue, Memphis, TN 38163-0001 | 2019-11-01 |
| 1689221152 | Dental Sleep Solutions Memphis Pllc | Dentist | 6389 N Quail Hollow Rd Ste 202, Memphis, TN 38120-1427 | 2019-08-20 |
| 1811540644 | Jane Nathanielle Moore | Dentist | 875 Union Ave Dunn Bldg Rm 502c, Memphis, TN 38163-0001 | 2019-07-21 |
| 1972096998 | Binal Jagadish Patel | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-13 |
| 1952894909 | Richard Anthony Law | Dentist | 875 Union Ave Dept of Orthodontics, Memphis, TN 38163-0001 | 2018-06-13 |
| 1497283691 | David Calvin Harris | Dentist | 6425 N Quail Hollow Rd Ste 101, Memphis, TN 38120-1438 | 2017-06-01 |
| 1427581057 | Ashley Hutchison | Dentist | 70 River Heights Dr Apt 304, Memphis, TN 38103-6970 | 2017-04-10 |
| 1790238533 | Fnu Sufia Kazima | Dentist | 3068 Covington Pike Ste 2, Memphis, TN 38128-5001 | 2016-07-28 |
| 1972958288 | Paul N. Gregory Jr. | Dentist | Univ of Tn College of Dentistry, 875 Union Ave., Memphis, TN 38163-0001 | 2016-04-25 |
| 1184083420 | Dove Family Dentistry - Bennington Pllc | Dentist | 5144 Riverdale Rd Ste 106, Memphis, TN 38141-0271 | 2016-02-15 |
| Find all providers in MEMPHIS | ||||
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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.