TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY
NPI 1679564405
Dentist - Periodontics in Tampa, FL

Active since November 01, 2005
1810 S MACDILL AVE, STE 2, TAMPA, FL 33629(813) 251-0770(813) 251-0771 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tampa Bay Periodontics And Implant Dentistry NPPES

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

TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY (NPI 1679564405) is a healthcare organization registered as a periodontics in Tampa, Florida and active in the NPI registry since November 2005. The organization lists James G Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1679564405
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJAMES G WILSON DMD PA
Location Address1810 S MACDILL AVE, STE 2Tampa, FL 33629-5901
Mailing Address1810 S Macdill Ave, Ste 2Tampa, FL 33629-5901 · (813) 251-0770 · Fax (813) 251-0771
Fax(813) 251-0771
Organization SubpartNo
Authorized OfficialJames G WilsonPresident · (813) 251-0770
Enumeration DateNovember 1, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1679564405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in FL · DN13537
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1810 S MACDILL AVE, Tampa, FL 33629

Other Names 1

Doing Business AsTampa Bay Periodontics And Implant Dentistry

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 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.

Dentist (Periodontics)
1810 S MACDILL AVE
TAMPA, FL 33629
Dentist (General Practice)
1810 S MACDILL AVE, SUITE 3
TAMPA, FL 33629

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 James G Wilson Dmd PA's NPI number?

The NPI number for James G Wilson Dmd PA is 1679564405. It was assigned to this organization in the NPPES registry on November 1, 2005. The provider is doing business as Tampa Bay Periodontics And Implant Dentistry.

Where is James G Wilson Dmd PA located?

James G Wilson Dmd PA is located at 1810 S Macdill Ave Ste 2, Tampa, FL 33629. The listed phone number is (813) 251-0770.

What is James G Wilson Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for James G Wilson Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.