JOHN WILSON
NPI 1811604101
Dentist in Jackson, TN

Q: What is John Wilson's NPI number?

The NPI number for John Wilson is 1811604101. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Q: What is John Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for John Wilson was last updated on November 4, 2022. 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.

Active since November 04, 2022

101 MAX LANE DR, JACKSON, TN 38305(731) 427-1696 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Wilson NPPES

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

JOHN WILSON (NPI 1811604101) is an individual dentist in Jackson, Tennessee, licensed in Tennessee (11390) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1811604101

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJOHN WILSON

Location Address101 MAX LANE DRJackson, TN 38305-5206

Mailing Address101 Garden DrJackson, TN 38305-2146

Phone(731) 427-1696

Sole ProprietorNo

Enumeration DateNovember 4, 2022

NPPES CertifiedNovember 4, 2022

✔ NPI 1811604101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TN · 11390

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

101 MAX LANE DR, Jackson, TN 38305

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Other Providers at the Same Location NPPES

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

ORTHODONTIC SPECIALTY GROUP P.A.

Dentist (Orthodontics and Dentofacial Orthopedics)

101 MAX LANE DR
JACKSON, TN 38305

Madison County (731) 427-1696

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 John Wilson's NPI number?

The NPI number for John Wilson is 1811604101. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is John Wilson located?

John Wilson practices at 101 Max Lane Dr, Jackson, TN 38305. The listed phone number is (731) 427-1696.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John Wilson was last updated on November 4, 2022. 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.