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OWEN DALE WILSON DMD
NPI 1619174661
Dentist - General Practice in Leitchfield, KY

Active since July 02, 2007
1713 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754(270) 259-3003(270) 259-5408 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Owen Dale Wilson Dmd NPPES

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

OWEN DALE WILSON DMD (NPI 1619174661) is an individual general practice provider in Leitchfield, Kentucky, licensed in Kentucky (5614) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1619174661
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameOWEN DALE WILSONCredential: DMD
Location Address1713 ELIZABETHTOWN RDLeitchfield, KY 42754-8128
Mailing Address1713 Elizabethtown RdLeitchfield, KY 42754-8128 · (270) 259-3003 · Fax (270) 259-5408
Phone(270) 259-3003
Fax(270) 259-5408
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1619174661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 5614
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.
1713 ELIZABETHTOWN RD, Leitchfield, KY 42754
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Other Identifiers 1

Medicaid60056140KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

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.

EARL DENIS WILSON D.M.D.
Dentist (General Practice)
1713 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Grayson County (270) 259-3003
AMANDA WILSON LEWIS D.M.D
Dentist (General Practice)
1713 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Grayson County (270) 259-3003

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 Owen Wilson's NPI number?

The NPI number for Owen Wilson is 1619174661. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Owen Wilson located?

Owen Wilson practices at 1713 Elizabethtown Rd, Leitchfield, KY 42754. The listed phone number is (270) 259-3003.

What is Owen Wilson's specialty?

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

What insurance does Owen Wilson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Owen 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 Owen Wilson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.