DR. TRAVIS W. WILSON (NPI# 1922181999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922181999 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS W. WILSON |
| Credential | D.M.D. |
| Practice Address |
1042 N Main St Beaver Dam KY 42320-1553 |
| Practice Telephone | 2702743645 |
| Practice Fax Number | 2702743452 |
| Mailing Telephone | 2702743645 |
| Mailing Fax Number | 2702743452 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7199 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695933 | Travis Alexander Wilson | Physical Medicine & Rehabilitation | 10415 State Highway 151 Ste 101, San Antonio, TX 78251-4553 | 2019-02-18 |
| 1568688711 | Travis Dean Wilson | Counselor | 8258 W Orbit Dr, Boise, ID 83709-7876 | 2007-04-17 |
| 1366875767 | Travis J Wilson | Pharmacist | 235 Camden St, Rockland, ME 04841-2563 | 2013-08-21 |
| 1114289022 | Travis J Wilson | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2012-06-15 |
| 1336422476 | Travis Wilson | Case Manager/Care Coordinator | 902 S High St, Columbia, TN 38401-3204 | 2011-09-26 |
| 1154532729 | Travis David Wilson | Anesthesiology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-05-25 |
| 1053408591 | Travis B Wilson | Physician Assistant | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-10-06 |
| Street Address |
1042 N MAIN ST |
| City | BEAVER DAM |
| State | KY |
| Zip Code | 42320-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386123198 | Tate Downing | Physical Therapist | 1595 Us Hwy 31 S, Beaver Dam, KY 42320 | 2018-08-13 |
| 1679792196 | Bradford Elrod Mutchler | Preventive Medicine | 1219 N. Main St, Beaver Dam, KY 42320 | 2007-04-24 |
| 1922169259 | Kenneth Dwain Alford | Dentist | 1269 Duvall Rd, Suite 2, Beaver Dam, KY 42320 | 2006-12-12 |
| 1205909330 | Susan Smith Rice | Nurse Practitioner | 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 | 2006-11-16 |
| 1104929322 | Armand Jules Rigaux | Emergency Medicine | 1219 N. Main St., Beaver Dam, KY 42320 | 2006-09-06 |
| 1326050329 | Jonathan L Shrewsbury | Optometrist | 1303 North Main St., Beaver Dam, KY 42320 | 2006-08-12 |
| 1376583690 | Donald Kevin Gregory | Emergency Medicine | 1213 North Main Street, Beaver Dam, KY 42320 | 2006-06-07 |
| 1982182317 | Bright Futures Behavioral Health | Nurse Practitioner | 1625 N Main St, Beaver Dam, KY 42320 | 2018-07-28 |
| 1669824744 | Aspire Behavioral Therapy, LLC | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2016-07-12 |
| 1457760662 | Wendy Russell | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2014-08-13 |
| Find all providers in zip 42320 | ||||
| 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 |
|---|---|---|---|---|
| 1720444532 | Ohio County Family Dentistry Pllc | Dentist | 1221 N Main St, Beaver Dam, KY 42320-8955 | 2016-01-08 |
| 1265654107 | John Mark Eaton | Dentist | 107 Warren St Ste 1, Beaver Dam, WI 53916-3031 | 2007-05-02 |
| 1922169259 | Kenneth Dwain Alford | Dentist | 1269 Duvall Rd, Suite 2, Beaver Dam, KY 42320 | 2006-12-12 |
| 1154480655 | Mark A Barrette | Dentist | 215 N Spring St, Beaver Dam, WI 53916-2137 | 2006-12-08 |
| 1548375926 | David Hugh Sommer | Dentist | 205 S University Ave, Beaver Dam, WI 53916-2438 | 2006-08-19 |
| 1629095278 | David Charles Utrie | Dentist | 105 N Lincoln Ave, Beaver Dam, WI 53916-2140 | 2006-07-17 |
| 1760435614 | Edwin R. Schuler | Dentist | 302 N Spring St, Beaver Dam, WI 53916-2044 | 2006-05-19 |
| 1801034236 | Esser, Krueger & Borja Dds, Sc | Dentist | 205 S University Ave, Beaver Dam, WI 53916-2438 | 2009-01-22 |
| 1699985051 | Beaver Dam Dental LLC | Dentist | 302 N Spring St, Beaver Dam, WI 53916-2044 | 2007-05-23 |
| 1306892500 | David J. Stecker | Dentist | 302 N Spring St, Beaver Dam, WI 53916-2044 | 2006-05-26 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 42320 |
Please comment or provide details below to improve the information on DR. TRAVIS W. 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.