Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWARD WILSON, DDS MS
ActiveDR. MARK EDWARD WILSON, DDS MS is a Pediatric Dentistry healthcare provider located in NORTH LITTLE ROCK, Arkansas. NPI 1912924424 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · NORTH LITTLE ROCK, AR
Registration Details
- NPI Number
- 1912924424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.034546703931 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2817 (AR)
Practice Information
- Address
-
4605 FAIRWAY AVENORTH LITTLE ROCK, AR, 72116Browse AR providers · Browse ZIP 72116
- Phone
- 5017712990
- Fax
- 5017530408
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.