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DR. KRISTIN NICOLE WILSON DMD
NPI 1346810900
Dentist - General Practice in Tucker, GA

Active since June 28, 2021
4070 LAVISTA RD STE 102, TUCKER, GA 30084(770) 225-0723(770) 491-0037 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 15, 2022, Jun 28, 2021 (2 updates tracked since 2021).

About Dr. Kristin Nicole Wilson Dmd NPPES

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

DR. KRISTIN NICOLE WILSON DMD (NPI 1346810900) is an individual general practice provider in Tucker, Georgia, licensed in Georgia (DN122747) and active in the NPI registry since June 2021. She maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1346810900
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRISTIN NICOLE WILSONCredential: DMD
Location Address4070 LAVISTA RD STE 102Tucker, GA 30084-5228
Mailing Address3897 River Ridge CtDecatur, GA 30034-6902 · (404) 906-1552
Phone(770) 225-0723
Fax(770) 491-0037
Sole ProprietorNo
Enumeration DateJune 28, 2021
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1346810900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN122747
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.
Also ListedDentistTaxonomy 122300000X · License DT-2911-0 (HI)
4070 LAVISTA RD STE 102, Tucker, GA 30084
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 Punchbowl StHonolulu, HI 96813-2499 · Phone (808) 691-4292

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Kristin Wilson's NPI number?

The NPI number for Kristin Wilson is 1346810900. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Kristin Wilson located?

Kristin Wilson practices at 4070 Lavista Rd Ste 102, Tucker, GA 30084. The listed phone number is (770) 225-0723.

What is Kristin Wilson's specialty?

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

What insurance does Kristin Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 other insurers list Kristin Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Wilson was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.