STEPHEN B WILSON DMD
NPI 1891771366
Dentist - General Practice in Marietta, GA

Active since December 16, 2005PECOS Enrolled
3515 DALLAS HWY SW STE B, MARIETTA, GA 30064(678) 684-8157 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen B Wilson Dmd NPPES

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

STEPHEN B WILSON DMD (NPI 1891771366) is an individual general practice provider in Marietta, Georgia, licensed in Georgia (DN013704) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891771366
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHEN B WILSONCredential: DMD
Location Address3515 DALLAS HWY SW STE BMarietta, GA 30064-2095
Mailing Address41 Midland LnDallas, GA 30157-4133 · (843) 540-9790
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateMay 1, 2012
NPI 1891771366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in GA · DN013704 Licensed in SC · 4249
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.
Also ListedDentistTaxonomy 122300000X · License 19026680 (IL)
3515 DALLAS HWY SW STE B, Marietta, GA 30064

Other Identifiers 1

Medicare UPIN000OTH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephen B Wilson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist
3515 DALLAS HWY SW STE B
MARIETTA, GA 30064

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 Stephen Wilson's NPI number?

The NPI number for Stephen Wilson is 1891771366. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Stephen Wilson located?

Stephen Wilson practices at 3515 Dallas Hwy SW Ste B, Marietta, GA 30064. The listed phone number is (678) 684-8157.

What is Stephen Wilson's specialty?

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

Is Stephen Wilson enrolled in Medicare?

Yes. Stephen Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Wilson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Stephen 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 Stephen Wilson was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.