Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689239691 Individual Practitioner Female Practitioner

Dr. Shayla Wilson , DDS

Dentist • Rockledge, FL

Professional Overview & Biography Verified Profile Summary

Dr. Shayla Wilson, DDS is a registered healthcare professional specializing in Dentist in Rockledge, FL. Practice services are available at 220 BARTON BLVD UNIT C-14 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 Barton Blvd Unit C-14

Rockledge, FL 329552742

Telephone 3212416800
Fax 3212416890
Associated Practice Facility / Clinic
🏢 Brevard Health Alliance Inc Facility NPI 1285111732

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Rockledge, FL (6414 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: 2023-11-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN25324

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

University Of Kentucky 740 S Limestone

Lexington, KY 405360001

Phone: 8593232036

14100 58th St N

Clearwater, FL 337609900

Phone: 7278248181

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013347277

Doctor of Psychology (Psy.D.)

Christy Powell , APRN

Nurse Practitioner - Family

NPI 1013481050

Advanced Practice Registered Nurse

Dr. Lindsay Rule , DMD

Dentist - General Practice

NPI 1033471255

Doctor of Dental Medicine

Jessica Regan , PA

Physician Assistant

NPI 1033592597

Physician Assistant

Vimari De La Cruz , ARNP, FNP-C

Nurse Practitioner - Family

NPI 1033795760

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Meagan Sumner , PA-C

Physician Assistant

NPI 1043084254

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 29, 2023

Registered at 220 BARTON BLVD UNIT C-14, ROCKLEDGE, FL 329552742 (Tel: 3212416800)

📍
Updated Business Mailing Address November 29, 2023

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

👤
Provider Name / Credentials Updated November 29, 2023

Recorded as SHAYLA WILSON, DDS

📍
Updated Practice Location August 23, 2022

Registered at 14100 58TH ST N, CLEARWATER, FL 337609900 (Tel: 7278248181)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Business Mailing Address October 19, 2020

Registered at 14100 58TH ST N, CLEARWATER, FL 337609900 (Tel: 7278248181)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Dentist (License #DN25324 in FL)

NPI Profile Active May 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2019

Registered at UNIVERSITY OF KENTUCKY 740 S LIMESTONE, LEXINGTON, KY 405360001 (Tel: 8593232036)

📍
Updated Business Mailing Address May 06, 2019

Registered at UNIVERSITY OF KENTUCKY A 219 KENTUCKY CLINIC, LEXINGTON, KY 405360284 (Tel: 8593232036)

👤
Provider Name / Credentials Updated May 06, 2019

Recorded as SHAYLA WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 06, 2019

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: 1689239691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2019
Last Update: November 29, 2023
Sole Proprietor: No

Mailing Address

Po Box 1137

Melbourne, FL 329021137

Phone: 3219529696

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.