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

Dr. Kristin Nicole Wilson, DMD

Individual provider Dentist · NPI 1346810900

Dr. Kristin Nicole Wilson, DMD is a Dentist in Tucker, Georgia. Works from 2 locations. Licensed in Georgia and Hawaii.

Licensed in
GA, HI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4070 Lavista Rd Ste 102
Tucker, GA 30084-5228
Phone: (770) 225-0723
Fax: (770) 491-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Punchbowl St, Honolulu, HI 96813-2499 — (808) 691-4292

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN122747 (GA)
Dentist Taxonomy 122300000X · Licence DT-2911-0 (HI)

Record details

NPI number1346810900
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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