DR. KENNETH ROBERT WILSON (NPI# 1508873373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508873373 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ROBERT WILSON |
| Credential | DDS |
| Practice Address |
13764 E Quincy Ave Aurora CO 80015-1129 |
| Practice Telephone | 3036900877 |
| Practice Fax Number | 3036901250 |
| Mailing Telephone | 3036900877 |
| Mailing Fax Number | 3036901250 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | CO105011 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563735 | Kenneth Lamar Wilson | Counselor | 1155 Westmoreland Dr Ste 114, El Paso, TX 79925-5623 | 2018-10-06 |
| 1336506641 | Kenneth Jerome Wilson II | Counselor | 5 Lavender Ln, Springfield, MA 01129-1708 | 2016-01-19 |
| 1780860692 | Kenneth James Wilson | Counselor | 1323 Watts St, Durham, NC 27701-1134 | 2008-01-10 |
| 1629260344 | Kenneth D Wilson | Counselor | 915 Nipsic Ave, Bremerton, WA 98310-4837 | 2007-08-16 |
| 1396854915 | Kenneth Monroe Wilson | Physical Therapist | 1355 Maple Street, Farmington, MO 63640 | 2006-08-29 |
| 1366400707 | Kenneth Spencer Wilson | Psychologist | 501 S Johnstone Ave, Bartlesville, OK 74003-6609 | 2006-05-03 |
| 1205896586 | Kenneth Hugh Wilson | Psychologist | 3333c Dayton Xenia Road, Beavercreek, OH 45432-2764 | 2006-03-23 |
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1093244410 | Kenneth M. Wilson | Counselor | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 | 2017-06-08 |
| Street Address |
13764 E QUINCY AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80015-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477092500 | Signature Dentistry of Aurora | Dentist | 13764 E Quincy Ave, Aurora, CO 80015-1129 | 2017-02-22 |
| 1649512849 | Grady Randall Pllc | Dentist | 13764 E Quincy Ave, Aurora, CO 80015 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| 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 |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1376169714 | Puneet Kaur Pandher | Dentist | 13650 E Colfax Ave Apt 3115, Aurora, CO 80011-6989 | 2020-06-22 |
| 1043835648 | Kelli Williams | Dentist | 3162 S Hannibal St, Aurora, CO 80013-1750 | 2020-06-10 |
| 1588288062 | Lynn Doan | Dentist | 12357 E Cornell Ave Unit 10, Aurora, CO 80014-3323 | 2020-06-01 |
| 1447895255 | Aurora Dentist Office and Orthodontics, LLP | Dentist | 12101 E Dartmouth Ave Ste 200, Aurora, CO 80014-4948 | 2019-11-15 |
| 1942843420 | Palak M Shah | Dentist | 1261 N Lake St Ste J, Aurora, IL 60506-2471 | 2019-10-28 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1518515162 | Manju Suresh | Dentist | 1264a N Lake St, Aurora, IL 60506-2453 | 2019-08-27 |
| 1346801958 | Gabrielle Brandt | Dentist | 25791 E Smoky Hill Rd Unit 10, Aurora, CO 80016-1793 | 2019-06-25 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on DR. KENNETH ROBERT WILSON.
| 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.