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Deactivated NPI 1891775193 Deactivated / Inactive NPI Male Practitioner

Dr. William Daryl Wilson , DDS

Dentist • Bristol, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 20, 2006
NPI Deactivation Date June 17, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. William Wilson, DDS was a registered Dentist practicing in Bristol, VA. Throughout an active medical career spanning 15 years, Dr. Wilson provided care at the practice location at 15068 LEE HWY until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

15068 Lee Hwy
Ste 1000 Washington Co Health Dept

Bristol, VA 24202

Telephone 2766765604
Fax 2766451994
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bristol, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Bristol, VA (2514 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401005217

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2013

Registered at 15068 LEE HWY, STE 1000 WASHINGTON CO HEALTH DEPT, BRISTOL, VA 24202 (Tel: 2766765604)

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Updated Business Mailing Address February 27, 2013

Registered at 15068 LEE HWY, STE 1000 WASHINGTON CO HEALTH DEPT, BRISTOL, VA 24202 (Tel: 2766765604)

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Provider Name / Credentials Updated February 27, 2013

Recorded as WILLIAM WILSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Dentist (License #0401005217 in VA)

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Initial NPI Registration & Enumeration January 20, 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: 1891775193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: February 27, 2013
Deactivation Date: June 17, 2021

Mailing Address

15068 Lee Hwy, Ste 1000 Washington Co Health Dept

Bristol, VA 24202

Phone: 2766765604

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.