C THOMAS WILSON DDS
NPI 1841404969
Dentist - General Practice in Sister Bay, WI

Active since May 09, 2007
703 S BAY SHORE DR, SUITE #4, SISTER BAY, WI 54234(920) 854-5200(920) 854-7601 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About C Thomas Wilson Dds NPPES

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

C THOMAS WILSON DDS (NPI 1841404969) is an individual general practice provider in Sister Bay, Wisconsin, licensed in Wisconsin (1235G) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1841404969
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameC THOMAS WILSONCredential: DDS
Location Address703 S BAY SHORE DR, SUITE #4Sister Bay, WI 54234
Mailing Address10589 S Highland Rd, Ste 4Sister Bay, WI 54234 · (920) 854-5200 · Fax (920) 854-7601
Fax(920) 854-7601
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 25, 2008
NPI 1841404969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 1235G
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.

703 S BAY SHORE DR, Sister Bay, WI 54234

Other Identifiers 1

Medicaid33495100WI

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 C Wilson's NPI number?

The NPI number for C Wilson is 1841404969. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is C Wilson located?

C Wilson practices at 703 S Bay Shore Dr Suite #4, Sister Bay, WI 54234. The listed phone number is (920) 854-5200.

What is C 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 C Wilson was last updated on July 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.