STEPHEN B WILSON (NPI# 1891771366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891771366 |
| Entity Type | Individual |
| Full Name | STEPHEN B WILSON |
| Credential | DMD |
| Practice Address |
3515 Dallas Hwy Sw Ste B Marietta GA 30064-2095 |
| Mailing Address |
41 Midland Ln Dallas GA 30157-4133 |
| Practice Telephone | 6786848157 |
| Mailing Telephone | 8435409790 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2012-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 19026680 | IL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013704 | GA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
4249 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600358 | Stephen Wilson | Occupational Therapy Assistant | 5195 Buyserie Rd Ne, Saint Paul, OR 97137-9707 | 2016-06-21 |
| 1922366020 | Stephen James Wilson | Obstetrics & Gynecology | 1738 Citron St, #er, Honolulu, HI 96826-2571 | 2012-04-25 |
| 1710018494 | Stephen James Wilson | Dentist | 729 Cedar St, Garberville, CA 95542-3201 | 2007-03-07 |
| 1760513451 | Stephen L Wilson | Specialist | 1015 S Henderson St, Ft Worth, TX 76104-2924 | 2007-03-07 |
| 1144313842 | Stephen Lloyd Wilson | Chiropractor | 1412 N Broadway, Ste 206, Lexington, KY 40505-3157 | 2006-10-02 |
| 1144324203 | Stephen Jay Wilson | Psychiatry & Neurology | 4165 Thousand Oaks Blvd #345, Westlake Village, CA 91362 | 2006-09-11 |
| 1902810914 | Stephen Charles Wilson | Surgery | 130 Cedar Rd # 350, Vista, CA 92083-5102 | 2006-07-27 |
| 1699739292 | Stephen A Wilson | Specialist | 1851 Napa Ct, Fremont, CA 94539-6016 | 2006-04-12 |
| 1255323630 | Stephen Wesley Wilson | Nurse Anesthetist, Certified Registered | 10751 Falls Rd, Suite 425, Lutherville, MD 21093-4517 | 2005-08-22 |
| 1659376267 | Stephen Wilson | Physical Medicine & Rehabilitation | 24345 Harper Ave, St Clair Shores, MI 48080 | 2005-06-20 |
| Street Address |
3515 DALLAS HWY SW STE B |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649486028 | Westside Dental | Dentist | 3515 Dallas Hwy Sw Ste B, Marietta, GA 30064-1613 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1104381359 | Castiblanco Dental Care LLC | Dentist | 3901 Roswell Rd Ste 220, Marietta, GA 30062-8816 | 2019-02-01 |
| 1982102653 | Superior Dental of East Cobb, LLC | Dentist | 2745 Sandy Plains Rd Ste 118, Marietta, GA 30066-4327 | 2018-01-29 |
| 1477068823 | Gina Dental LLC | Dentist | 1000 Johnson Ferry Rd Ste E125, Marietta, GA 30068-2100 | 2017-12-07 |
| 1669994109 | Boban Fidanoski | Dentist | 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 | 2017-07-15 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1659724532 | Neha Chakravarti | Dentist | 2230 Roswell Rd Ste 200, Marietta, GA 30062-2945 | 2016-07-15 |
| 1104218361 | Georgia Dental Professionals, PC | Dentist | 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 | 2015-02-25 |
| 1124429212 | Family Tree Dental D Austin Rehl Dds and Peter E Lovejoy Dds LLC | Dentist | 30 Acme St, Marietta, OH 45750-3306 | 2014-09-09 |
| Find all providers in MARIETTA | ||||
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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.