Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEFFREY DOUGLAS WILSON D.M.D.
NPI 1104822394
Dentist - General Practice in Bayonet Point, FL

Active since June 22, 2005
13728 OFFICE PARK CT, BAYONET POINT, FL 34667(727) 863-9669(727) 862-8907 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Douglas Wilson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY DOUGLAS WILSON D.M.D. (NPI 1104822394) is an individual general practice provider in Bayonet Point, Florida, licensed in Florida (14685) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104822394
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFREY DOUGLAS WILSONCredential: D.M.D.
Location Address13728 OFFICE PARK CTBayonet Point, FL 34667-7144
Mailing Address13728 Office Park CtBayonet Point, FL 34667-7144 · (727) 863-9669 · Fax (727) 862-8907
Fax(727) 862-8907
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1104822394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · 14685
Definition
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.
13728 OFFICE PARK CT, Bayonet Point, FL 34667

Other Identifiers 2

Other54987FL · Blue Cross Blue Sheild
Other539190FL · United Concordia

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
13728 OFFICE PARK CT
BAYONET POINT, FL 34667
Dentist
13728 OFFICE PARK CT
BAYONET POINT, FL 34667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1104822394. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Jeffrey Wilson located?

Jeffrey Wilson practices at 13728 Office Park Ct, Bayonet Point, FL 34667. The listed phone number is (727) 863-9669.

What is Jeffrey Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.