Jack W. Wilson DDS

  • NPI 1598774465
According to our database, the NPI number for Jack W. Wilson DDS is 1598774465 and activated since 17 years ago. Jack W. Wilson DDS is an individual provider who specializes in General Practice, and the primary practice location is 534 Luzerne St, Mount Ida, AR 71957. You can also contact Jack W. Wilson DDS via telephone number is (870) 867-4244. Provider NPI information was last updated on 04/14/2008.

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Overview of Jack W. Wilson DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/07/2006
  • Last updated: 04/14/2008

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 5303
  • License State: OK

Provider Mailing Address

  • Address: 1201 Mena St
    Mena, AR 71953
  • Phone: 479-394-2332
  • Fax: 479-437-3708

Provider Practice Location

  • Address: 534 Luzerne St
    Mount Ida, AR 71957
  • Phone: 870-867-4244
  • Fax: 870-867-4254

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: 5303
  • License State: OK
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 450463188002
  • Identifier Type: Other
  • Identifier State: OK
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack W. Wilson DDS?
  • A: The npi number for Jack W. Wilson DDS is 1598774465.
  • Q: What are Jack W. Wilson DDS's specialties?
  • A: Jack W. Wilson DDS's specialties are General Practice and different specialities.
  • Q: What is the medical license for Jack W. Wilson DDS?
  • A: The medical license number for Jack W. Wilson DDS is 5303 and issued in OK in USA.
  • Q: Where is Jack W. Wilson DDS practice location?
  • A: Jack W. Wilson DDS is practicing at 534 Luzerne St, Mount Ida, AR 71957.
  • Q: How to contact Jack W. Wilson DDS?
  • A: You can contact Jack W. Wilson DDS via 870-867-4244.