CRISTIN C WILSON DDS
NPI 1194148312
Dentist - General Practice in Omaha, NE

Q: What is Cristin C Wilson Dds's NPI number?

The NPI number for Cristin C Wilson Dds is 1194148312. It was assigned to this organization in the NPPES registry on January 23, 2014.

Q: What is Cristin C Wilson Dds's specialty?

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

Active since January 23, 2014

11717 BURT ST, SUITE 100, OMAHA, NE 68154(402) 492-9476(402) 492-9838 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cristin C Wilson Dds NPPES

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

CRISTIN C WILSON DDS (NPI 1194148312) is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since January 2014. The organization lists Donna Daubert, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194148312

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCRISTIN C WILSON DDS

Location Address11717 BURT ST, SUITE 100Omaha, NE 68154-1500

Mailing Address11717 Burt St, Suite 100Omaha, NE 68154-1500 · (402) 492-9476 · Fax (402) 492-9838

Phone(402) 492-9476

Fax(402) 492-9838

Organization SubpartNo

Authorized OfficialDonna DaubertOffice Manager · (402) 492-9476

Enumeration DateJanuary 23, 2014

✔ NPI 1194148312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NE · 5740✔ Licensed in NE · 7113

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.

11717 BURT ST, Omaha, NE 68154

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Other Identifiers 1

Medicaid10026100400NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ANGELA ROSE SCARROW PLMHP

Counselor (Mental Health)

11717 BURT ST
OMAHA, NE 68154

Douglas County (402) 302-2775

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 Cristin C Wilson Dds's NPI number?

The NPI number for Cristin C Wilson Dds is 1194148312. It was assigned to this organization in the NPPES registry on January 23, 2014.

Where is Cristin C Wilson Dds located?

Cristin C Wilson Dds is located at 11717 Burt St Suite 100, Omaha, NE 68154. The listed phone number is (402) 492-9476.

What is Cristin C Wilson Dds'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 Cristin C Wilson Dds was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.