Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649330291 Individual Practitioner Male Practitioner

Dr. Robert G Wilson , DMD

Dentist - General Practice • El Paso, TX

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wilson, DMD is a registered healthcare professional specializing in Dentist - General Practice in El Paso, TX. Practice services are available at 12801 EDGEMERE BLVD # B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12801 Edgemere Blvd # B
Suite 112

El Paso, TX 799389500

Telephone 9154936310
Associated Practice Facility / Clinic
🏢 Smile Center For Kids Pllc Facility NPI 1144661950

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
194 Specialists

Practicing in El Paso, TX (10570 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 24420

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
200271909 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Tiffanie Wilson , DMD

Dentist - General Practice

NPI 1558421107

Doctor of Dental Medicine

Dr. Carmie Brown , DDS

Dentist - General Practice

NPI 1740202928

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 12801 EDGEMERE BLVD # B, SUITE 112, EL PASO, TX 799389500 (Tel: 9154936310)

📍
Updated Business Mailing Address October 30, 2014

Registered at 735 COEUR CIRCLE, EL PASO, TX 799222132

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as ROBERT WILSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Dentist (License #24420 in TX)

🟢
Initial NPI Registration & Enumeration December 12, 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: 1649330291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: October 30, 2014
Sole Proprietor: Yes

Mailing Address

735 Coeur Circle

El Paso, TX 799222132

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.