AMY WILSON, DMD, LLC (NPI# 1659647527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659647527 |
| Entity Type | Organization |
| Organization Name | AMY WILSON, DMD, LLC |
| Other Organization Name | WILSON FAMILY DENTISTRY |
| Practice Address |
8318 Stouts Rd Morris AL 35116-1424 |
| Practice Telephone | 2056474705 |
| Practice Fax Number | 2056474775 |
| Mailing Telephone | 2056474705 |
| Mailing Fax Number | 2056474775 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |
| Authorized Official Name | DR. AMY WILSON (GENERAL DENTIST/OWNER) |
| Authorized Official Telephone | 2056474705 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5784 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Wilson Family Dentistry | Doing Business As Name - Organization |
| Street Address |
8318 STOUTS RD |
| City | MORRIS |
| State | AL |
| Zip Code | 35116-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225173339 | Tracy T Cushman | Pharmacist | 584 Morris Majestic Rd, Morris, AL 35116 | 2007-02-20 |
| 1023085602 | Tracy Morrison Parks | Family Medicine | 586 Morris Majestic Rd, Morris, AL 35116-1245 | 2006-03-02 |
| 1386735967 | Arthur Boyd Ennis Jr. | Pharmacist | 585 Morris Majestic Rd, Morris, AL 35116-1246 | 2006-09-27 |
| 1235202565 | Payless Drugs, Inc. | Pharmacy | 585 Morris Majestic Rd, Morris, AL 35116-1246 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1093330516 | Modern Pain Consultants | Anesthesiology | 1802 N Division St Ste 605, Morris, IL 60450-3133 | 2020-06-10 |
| 1366065013 | Stefanie Fragodt | Physical Therapist | 1001 Scotts Ave Ste 1, Morris, MN 56267-1763 | 2020-05-28 |
| 1366064057 | Morris Fire & Ambulance Protection District | Ambulance | 2301 Ashton Rd, Morris, IL 60450-8615 | 2020-05-15 |
| 1568094290 | Molly E Westerman | Social Worker | 400 Colorado Ave Ste 104, Morris, MN 56267-1235 | 2020-02-11 |
| 1235760976 | Andy Goodnight | Occupational Therapy Assistant | 16993 Elm Ln, Morris, OK 74445-2837 | 2020-01-31 |
| 1124659198 | Dreamcatcher Aba LLC | Behavioral Analyst | 515 E Southmor Rd, Morris, IL 60450-8433 | 2020-01-29 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1780234054 | Emma Riedesel | Psychologist | 2001 Dupont Ave, Morris, IL 60450-3605 | 2019-09-18 |
| 1003464728 | A Plus Therapy Solutions | Physical Therapist | 1802 N Division St Ste 202, Morris, IL 60450-3104 | 2019-08-27 |
| Find all providers in MORRIS | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578777561 | Ann Marie Struck | Dentist | 619 Wauponsee St, Morris, IL 60450-1840 | 2007-05-09 |
| 1629196621 | Douglas Rolf Halkyard | Dentist | 110 East Jackson Street, Morris, IL 60450 | 2007-03-27 |
| 1083738322 | Terry T Dingbaum | Dentist | 1010 W Us Route 6, Morris, IL 60450-8942 | 2007-03-19 |
| 1205901600 | Sevila Yee-schiml | Dentist | 1216 Division St, Morris, IL 60450-1559 | 2006-11-21 |
| 1316046030 | Robert J. Engle | Dentist | 1409 Division St, Morris, IL 60450-1445 | 2006-09-21 |
| 1538271572 | Kurt Arthur Barth | Dentist | 1499 Lakewood Drive, Unit F, Morris, IL 60450 | 2006-08-31 |
| 1174538805 | Venkatraman Duraiappa | Dentist | 2 E 5th St, Morris, MN 56267-1344 | 2006-07-30 |
| 1659392827 | Keith W. Jaeschke D.d.s., P.C. | Dentist | 1545 Creek Dr, Morris, IL 60450-6857 | 2006-07-22 |
| 1790269108 | Scott Halkyard | Dentist | 110 E Jackson St, Morris, IL 60450-1802 | 2018-09-20 |
| 1225566029 | Hector Enrique Cabrera | Dentist | 1010 W Us Route 6, Morris, IL 60450-8942 | 2017-05-24 |
| Find all providers in MORRIS | ||||
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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.