Jared Wilson Bristol
NPI 1962917575ActiveIndividual· Dentist· Smyrna, GA
Dentist in Smyrna, Georgia, licensed in GA, with an NPI issued in December 2017. Part D covered 72 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $46.99 in payments in 2024, mostly gifts.
Overview
| NPI | 1962917575 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 5, 2017 |
| Last updated in NPPES | Dec 5, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN015049 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 72 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $402.10 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$46.99 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $46.99 | 1 |
What the 2024 payments were for
- Gift$46.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Smyrna
- 1811188287
- 1235465428
- 1952816373
- 1346258324
- 1780993840
- 1265503940
- 1316324932
- 1194902957
- 1003305251
- 1275210155
- 1467185231
- 1346654563