Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760162366 Individual Practitioner Female Practitioner

Dr. Kenleeanne Hass Wilson , DMD

Dentist - General Practice • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kenleeanne Wilson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lagrange, GA. Practice services are available at 114 CALUMET CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

114 Calumet Center Rd

Lagrange, GA 302416703

Telephone 7068821888

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
26 Specialists

Practicing in Lagrange, GA (3302 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: 2023-07-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123157

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.

Secondary Practice Locations

601 E Main St

Hogansville, GA 302301507

Phone: 7066376125

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. George Childress , DMD

Dentist - General Practice

NPI 1174746721

Doctor of Dental Medicine

NPI 1215467444

Doctor of Dental Medicine

NPI 1215773924

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2023

Registered at 114 CALUMET CENTER RD, LAGRANGE, GA 302416703 (Tel: 7068821888)

📍
Updated Business Mailing Address July 19, 2023

Registered at 114 CALUMET CENTER RD, LAGRANGE, GA 302416703 (Tel: 7068821888)

👤
Provider Name / Credentials Updated July 19, 2023

Recorded as KENLEEANNE WILSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Dentist (License #DN123157 in GA)

🟢
Initial NPI Registration & Enumeration July 19, 2023

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: 1760162366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2023
Last Update: July 19, 2023
Sole Proprietor: Yes

Mailing Address

114 Calumet Center Rd

Lagrange, GA 302416703

Phone: 7068821888

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.