Benjamin Wilson, DDS
Benjamin Wilson is a General Practice Dentistry provider (Dentist) practicing in Independence, MO, registered in the NPPES registry with NPI 1790905800 since 2007. The credential DDS stands for Doctor of Dental Surgery. Practices at Abc Dental LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790905800 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Benjamin Wilson |
| Credential | DDS |
| Sex | Male |
| Practice address | 1619 W US HIGHWAY 24, Independence, MO, 64050 |
| Phone | 8164610055 |
| Fax | 8165039404 |
| Enumeration date | 2007-04-30 |
| Last updated in NPPES | 2014-06-05 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | 8632 | CO |
| 1223G0001X | General Practice Dentistry | Primary | 2010033385 | MO |
| 1223G0001X | General Practice Dentistry | Secondary | 60918 | KS |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790905800 | Medicaid | MO | — |
Copy-ready billing details
Provider: Benjamin Wilson, DDS NPI: 1790905800 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1619 W US HIGHWAY 24, Independence, MO, 64050
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043220304 | Farrah Anderson | Individual | General Practice Dentistry | Independence, MO |
| 1578791315 | Julia Chung | Individual | Dentist | Independence, MO |
| 1841500576 | Abc Dental LLC | Organization | General Practice Dentistry | Independence, MO |
Verify this record
Cross-check NPI 1790905800 against the authoritative CMS record: view Benjamin Wilson on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-06-05.