Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey J Wilson, DMD

Individual provider Dentist · NPI 1598287617

Corey J Wilson, DMD is a Dentist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1522 W Morris St
Indianapolis, IN 46221-1629
Phone: (317) 957-2500
Fax: (317) 957-2520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12012788A (IN)
Dentist Taxonomy 122300000X · Licence 12012788A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12012788A (IN)

Record details

NPI number1598287617
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address10820 Pendleton Pike Ste B, Indianapolis, IN 46236-2952

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