MEDICARE: DR. ALEXIS WILSON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DE60672750	WA
2	122300000X	Dentist	0401416901	VA

General Provider Information

NPI Number	:	1619427325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS WILSON D.D.S.

Provider Business Mailing Address
First Line	:	1801 ROBERT FULTON DR STE 300
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-4362
Country	:	US
Telephone Number	:	617-620-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 HERITAGE VILLAGE PLZ STE 101
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3066
Country	:	US
Telephone Number	:	703-754-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2016
Last Update Date	:	05/06/2025

Similar Medicare Providers

1942756184 — ALISA DILL D.D.S.
Practice Location Address:

7100 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE, VA
20155-3066

Practice Phone: 703-754-5800
Practice Fax:

1790666113 — HERITAGE HUNT DENTAL
Practice Location Address:

7100 HERITAGE VILLAGE PLZ STE 101
GAINESVILLE, VA
20155-3066

Practice Phone: 703-754-5800
Practice Fax: 703-754-8119

1649898842 — HEARTS&HANDS CARE AGENCY INC
Practice Location Address:

1567 NW 29TH RD APT 3
GAINESVILLE, FL
32605-3066

Practice Phone: 352-214-4750
Practice Fax:

1235061516 — DUNAMIS TOUCH COUNSELING
Practice Location Address:

14486 NEBBIOLO DR
GAINESVILLE, VA
20155-2057

Practice Phone: 703-909-4467
Practice Fax:

1528878113 — SARA AZER
Practice Location Address:

7051 HEATHCOTE VILLAGE WAY STE 210
GAINESVILLE, VA
20155-3199

Practice Phone: 571-261-1234
Practice Fax:

1871433052 — KATIE CROSEN
Practice Location Address:

7474 LIMESTONE DR
GAINESVILLE, VA
20155-4007

Practice Phone: 703-721-7218
Practice Fax:

Directions to “ DR. ALEXIS WILSON D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.