DR. COURTNEY LILLIANNE WILSON


Address: 3285 Hacks Cross Rd, Ste 101, Memphis, TN 38125-8918
Phone: 9017590970

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
8557 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 5440932 05

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Office Location

Street Address 3285 HACKS CROSS RD
STE 101
City MEMPHIS
State TN
Zip Code 38125-8918

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38125

Improve Information

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Dataset Information

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.

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