DR. KENLEEANNE HASS WILSON DMD
NPI 1760162366
Dentist - General Practice in Lagrange, GA

Active since July 19, 2023
114 CALUMET CENTER RD, LAGRANGE, GA 30241(706) 882-1888 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenleeanne Hass Wilson Dmd NPPES

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

DR. KENLEEANNE HASS WILSON DMD (NPI 1760162366) is an individual general practice provider in Lagrange, Georgia, licensed in Georgia (DN123157) and active in the NPI registry since July 2023. She maintains a secondary practice location in Hogansville.

NPPES Registry Identity

NPI1760162366
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENLEEANNE HASS WILSONCredential: DMD
Location Address114 CALUMET CENTER RDLagrange, GA 30241-6703
Mailing Address114 Calumet Center RdLagrange, GA 30241-6703 · (706) 882-1888
Sole ProprietorYes
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1760162366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN123157
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.
114 CALUMET CENTER RD, Lagrange, GA 30241

Other Names 1

Other Name (5)Annie Wilson Dmd

Secondary Practice Location 1

Location 1601 E Main StHogansville, GA 30230-1507 · Phone (706) 637-6125

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
114 CALUMET CENTER RD
LAGRANGE, GA 30241
Dentist
114 CALUMET CENTER RD
LAGRANGE, GA 30241
Dentist
114 CALUMET CENTER RD
LAGRANGE, GA 30241

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 Kenleeanne Wilson's NPI number?

The NPI number for Kenleeanne Wilson is 1760162366. It was assigned to this individual provider in the NPPES registry on July 19, 2023. The provider is also known as Annie Wilson Dmd.

Where is Kenleeanne Wilson located?

Kenleeanne Wilson practices at 114 Calumet Center Rd, Lagrange, GA 30241. The listed phone number is (706) 882-1888.

What is Kenleeanne Wilson'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 Kenleeanne Wilson was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.