Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861409203 Individual Practitioner Female Practitioner

Dr. Lori S Wilson , DDS

Dentist - General Practice • Montgomery, AL

Professional Overview & Biography Verified Profile Summary

Dr. Lori Wilson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Montgomery, AL. Practice services are available at 3052 MCGEHEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3052 Mcgehee Rd

Montgomery, AL 361112203

Telephone 3342399704
Fax 3342399505
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Montgomery, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
82 Specialists

Practicing in Montgomery, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401411164

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AL D-0006715-C

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9179631 (VA)
Commercial Insurance / Payer ID Aetna
7996766 (VA)
Commercial Insurance / Payer ID United Concordia
1335151 (VA)
Commercial Insurance / Payer ID Blue Cross/ Blue Shield
199459 (VA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 31, 2023

Registered at 3052 MCGEHEE RD, MONTGOMERY, AL 361112203 (Tel: 3342399704)

📍
Updated Business Mailing Address October 31, 2023

Registered at 602 FAIRWAY DR, DOTHAN, AL 363017860 (Tel: 7576350497)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2023

Dentist (License #D-0006715-C in AL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2010 WAKEFIELD AVE, PETERSBURG, VA 238052112 (Tel: 8047336740)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2010 WAKEFIELD AVE, PETERSBURG, VA 238052112 (Tel: 8047336740)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LORI WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401411164 in VA)

🟢
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861409203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: October 31, 2023
Sole Proprietor: Yes

Mailing Address

602 Fairway Dr

Dothan, AL 363017860

Phone: 7576350497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.