Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK W. WILSON, DDS
ActiveJACK W. WILSON, DDS is a General Dentistry healthcare provider located in MOUNT IDA, Arkansas. NPI 1598774465 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOUNT IDA, AR
Registration Details
- NPI Number
- 1598774465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2006 (20.034959922069 yrs)
- Last Updated
- Apr 14, 2008
- License
-
5303 (OK)
Practice Information
- Address
-
534 LUZERNE STMOUNT IDA, AR, 719579449Browse AR providers · Browse ZIP 71957
- Phone
- 8708674244
- Fax
- 8708674254
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MOUNT IDA, AR
| Name | Credential | NPI |
|---|---|---|
| RONNIE LEE FAULKNER | DDS | 1568525731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.