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

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: July 19, 2026.

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
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

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 2

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

Counselor (Mental Health)
11717 BURT ST
OMAHA, NE 68154
Nurse Practitioner (Psychiatric/Mental Health)
11717 BURT ST
OMAHA, NE 68154

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194148312, enumerated as an "organization" on January 23, 2014.

The provider is located at 11717 BURT ST SUITE 100 OMAHA, NE 68154 and the phone number is (402) 492-9476.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.