Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jeffrey Douglas Wilson, D.M.D.

General Practice Dentistry in Bayonet Point, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104822394

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Registry record

Entity type Individual (Type 1)

Name Dr. Jeffrey Douglas Wilson

Credential D.M.D.

Sex Male

Practice address 13728 Office Park Ct, Bayonet Point, FL, 34667

Phone (727) 863-9669

Fax (727) 862-8907

Enumeration date Jun 22, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 14685 (FL) Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier	Type	State	Issuer
54987	Other	FL	BLUE CROSS BLUE SHEILD
539190	Other	FL	UNITED CONCORDIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jeffrey Wilson's NPI record?

Cross-check NPI 1104822394 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104822394 active?

Yes, as of the latest NPPES snapshot, NPI 1104822394 is active (record last updated 2007-07-08).

Other providers at this practice address

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Stephen Durrett General Practice Dentistry · Bayonet Point, FL NPI 1386640449 Danielle Durrett Dentist · Bayonet Point, FL NPI 1982389896

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.