DR. COURTNEY LILLIANNE WILSON (NPI# 1538382502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538382502 |
Entity Type | Individual |
Full Name | DR. COURTNEY LILLIANNE WILSON |
Credential | D.D.S |
Practice Address |
3285 Hacks Cross Rd Ste 101 Memphis TN 38125-8918 |
Practice Telephone | 9017590970 |
Practice Fax Number | 9017590904 |
Mailing Telephone | 9017590970 |
Mailing Fax Number | 9017590904 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2008-10-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8557 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 5440932 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309712 | Courtney Elizabeth Wilson | Technician | 721 Division St W, Huntington, WV 25701-1743 | 2020-09-08 |
1154819308 | Courtney Sublett Wilson | Speech-Language Pathologist | 4641 Locksview Rd, Lynchburg, VA 24503-1935 | 2018-04-24 |
1134620990 | Courtney Beth Wilson | Massage Therapist | 363 N University Ave Ste 110, Provo, UT 84601-8425 | 2018-02-26 |
1831697838 | Courtney Paige Wilson | Social Worker | 4824 N Damen Ave Apt 401, Chicago, IL 60625-1476 | 2018-01-25 |
1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
1548796204 | Courtney J Wilson | Nurse Practitioner | 40 Lambert St Ste 522, Staunton, VA 24401-2446 | 2017-05-02 |
1538600937 | Courtney Elyce Wilson | Chiropractor | 1525 Mesa Verde Dr E Ste 113, Costa Mesa, CA 92626-5221 | 2017-03-17 |
1699118026 | Courtney Wilson | Home Health Aide | 3085 Clay Pike, Zanesville, OH 43701-8509 | 2013-04-16 |
1275820789 | Courtney Nichole Wilson | Rehabilitation Practitioner | 3105 Point Sal Cir, Las Vegas, NV 89128-8102 | 2011-07-05 |
1780823161 | Courtney Eller Wilson | Interpreter | 114 S Glenn Dr, Shelby, NC 28152-8004 | 2009-02-09 |
Street Address |
3285 HACKS CROSS RD STE 101 |
City | MEMPHIS |
State | TN |
Zip Code | 38125-8918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164710331 | Kurt M. Holmes Dds PC | Dentist | 3285 Hacks Cross Rd, Suite 103 & 104, Memphis, TN 38125-8918 | 2011-07-21 |
1497908354 | All About Kids Pediatric Dentistry | Dentist | 3285 Hacks Cross Rd, Ste 101, Memphis, TN 38125-8918 | 2008-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
Find all providers in zip 38125 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356775134 | Michael D. Blen Dds PC | Dentist | 6363 Poplar Ave Ste 110, Memphis, TN 38119-4802 | 2013-08-28 |
1770880064 | Miller Dental Health | Dentist | 5124 Stage Rd Ste C-2, Memphis, TN 38134-3164 | 2011-02-22 |
1710191812 | Ashley Suzanne Ramsey | Dentist | Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-05-09 |
1023147790 | Bradley W Wilkinson | Dentist | 5040 Sanderlin Avenue, Suite 101, Memphis, TN 38117 | 2007-03-05 |
1790858272 | Harry K. Sharp | Dentist | 875 Union Ave Rm S219, Memphis, TN 38163-0001 | 2006-11-15 |
1922197250 | Daniel Derrick Freeman | Dentist | 2567 Appling Rd, Memphis, TN 38133-5099 | 2006-10-12 |
1962597971 | Gregory Todd Wilkinson | Dentist | 5610 Murray Rd, Memphis, TN 38119 | 2006-10-04 |
1174511604 | Michael D. Blen | Dentist | 6363 Poplar Ave, Suite 110, Memphis, TN 38119-4831 | 2005-10-10 |
1760482046 | Sheldon Maurice Graves | Dentist | 4137 Kirby Pkwy, Suite 4, Memphis, TN 38115-6532 | 2005-07-28 |
1649890583 | David Eugene Mcnutt | Dentist | University of Tennessee 920 Madison Ave Suite 447, Memphis, TN 38163-0001 | 2020-04-21 |
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.