Individual provider · Type 1 NPI

Thomas G. Wilson Jr., DDS

Periodontics · Dallas, TX

NPI number 1124011002 Active

Practice location

5465 Blair Rd, Suite 200
Dallas, TX 75231-4100

Call (214) 691-2404 Map

Fax (214) 691-2228

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X9710 (TX)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1124011002

Thomas G. Wilson Jr., DDS's National Provider Identifier is 1124011002, issued on Aug 26, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Dallas, TX. The record was last updated on Jul 13, 2026.