MRS. BEVERLY A WILSON (NPI# 1487747945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487747945 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY A WILSON |
| Credential | DDS |
| Practice Address |
1303 Dr. Martin L King Jr Ave Mobile AL 36603 |
| Mailing Address |
451 Charleston St Mobile AL 36603 |
| Practice Telephone | 2514324117 |
| Practice Fax Number | 2519644012 |
| Mailing Telephone | 2519644011 |
| Mailing Fax Number | 2519644012 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | LNO3734 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 6314000141 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023552817 | Beverly N Wilson | Physician Assistant | 12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 | 2016-12-13 |
| 1720386451 | Beverly Wilson | Massage Therapist | 700 Dalrymple Rd, 203, Atlanta, GA 30328-1414 | 2011-03-03 |
| 1811173719 | Beverly K Wilson | Counselor | 3425 Francis St, Jackson, MI 49203-5052 | 2008-01-10 |
| 1316158017 | Beverly Wilson | Social Worker | 8400 East Prentice Avenue, Suite 1401, Greenwood Village, CO 80111-2926 | 2007-05-24 |
| 1457336521 | Beverly Deann Wilson | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2005-12-13 |
| 1811449895 | Beverly Wilson | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2016-10-26 |
| 1376908194 | Beverly Belk Wilson | Nurse Practitioner | 6840 Glenwood Ave, Raleigh, NC 27612-7133 | 2015-12-21 |
| 1942693429 | Beverly Wilson | Community Health Worker | 1230 2nd Ave, Columbus, GA 31901-5241 | 2015-03-09 |
| 1306248372 | Beverly Anne Wilson | Registered Nurse | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2014-09-22 |
| 1467703157 | Beverly Cecile Wilson | Nurse Practitioner | 3817 Main St, Loris, SC 29569-3017 | 2012-09-21 |
| Street Address |
1303 DR. MARTIN L KING JR AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1871936641 | Leticia M Gibbs | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2013-04-11 |
| 1669657896 | James M Lawrence | Family Medicine | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2008-01-07 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1851356760 | Gail Anita Luker | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile Center Franklin Primary Health Center Inc, Mobile, AL 36603 | 2006-04-20 |
| 1003896358 | Angelia Deniese Lewis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2006-01-20 |
| Find all providers in zip 36603 | ||||
| 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 |
|---|---|---|---|---|
| 1811538754 | Affordable Dentures & Implants - Mobile, P.C. | Dentist | 4439 Rangeline Rd Ste A, Mobile, AL 36619-9551 | 2019-10-02 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1629563598 | Stephanie Berry Evans | Dentist | 7765 Airport Blvd Ste D200, Mobile, AL 36608-5038 | 2018-06-24 |
| 1346766979 | Saman Mostajabian | Dentist | 3281 Bel Air Mall Ste G18a, Mobile, AL 36606-3207 | 2017-08-15 |
| 1528581170 | Midtown Family Dental, P.C. | Dentist | 79 Midtown Park E, Mobile, AL 36606-4141 | 2017-07-25 |
| 1073033296 | Kelsey Nutt Peters | Dentist | 7760 Moffett Rd, Mobile, AL 36618-4136 | 2017-06-20 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1881093581 | Hubert H. Parker Iv, D.m.d PC | Dentist | 9985 Airport Blvd Ste B, Mobile, AL 36608-9525 | 2014-08-19 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1033452826 | Robert David Crist | Dentist | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2013-04-01 |
| Find all providers in MOBILE | ||||
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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.