DR. LEIGH HARTMAN WILSON (NPI# 1952754970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952754970 |
| Entity Type | Individual |
| Full Name | DR. LEIGH HARTMAN WILSON |
| Credential | D.M.D. |
| Practice Address |
221 Simpson Park Rd Shelby NC 28150-4299 |
| Mailing Address |
2536 Providence Rd Charlotte NC 28211-1806 |
| Practice Telephone | 7044843366 |
| Mailing Telephone | 6788957914 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9119 | SC | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10466 | NC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2349 Cherry Rd Ste 49, Rock Hill, SC 297322132 | 8036190090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255889523 | Leigh Mcgovern Wilson | Physical Therapist | 14532 South Outer 40 Rd Ste 120, Ste 120, Chesterfield, MO 63017-5784 | 2016-09-15 |
| 1841663119 | Leigh Wilson | Nurse Practitioner | 7736 Ortonville Rd Ste A, Clarkston, MI 48348-4483 | 2015-11-08 |
| 1194091934 | Leigh Herrin Wilson | Physician Assistant | 11651 Jollyville Rd, Suite 100, Austin, TX 78759-3931 | 2012-03-27 |
| 1063787182 | Leigh C Wilson | Social Worker | 5509 Creedmoor Rd, Raleigh, NC 27612-6312 | 2012-03-22 |
| 1730408659 | Leigh Ann Wilson | Social Worker | 4508 Stadium Blvd, Jonesboro, AR 72404-9675 | 2010-05-18 |
| 1629225347 | Leigh Wilson | Internal Medicine | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2008-08-25 |
| 1720234503 | Leigh G Wilson | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2008-08-13 |
| 1609825983 | Leigh B Wilson | Nurse Practitioner | 90 Presidential Plz, 4th Floor, Syracuse, NY 13202-2240 | 2006-05-06 |
| Street Address |
221 SIMPSON PARK RD |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-4299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952477440 | Philip Frederic Jiamachello | Dentist | 221 Simpson Park Rd, Shelby, NC 28150-4299 | 2006-11-27 |
| 1174166359 | Thome & Zimmer Dds Pllc I | Dentist | 221 Simpson Park Rd, Shelby, NC 28150-4299 | 2019-10-21 |
| 1811433550 | Philip F. Jiamachello, D.d.s. | Dentist | 221 Simpson Park Rd, Shelby, NC 28150-4299 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| 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 |
|---|---|---|---|---|
| 1952477440 | Philip Frederic Jiamachello | Dentist | 221 Simpson Park Rd, Shelby, NC 28150-4299 | 2006-11-27 |
| 1174166359 | Thome & Zimmer Dds Pllc I | Dentist | 221 Simpson Park Rd, Shelby, NC 28150-4299 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
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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.