Individual provider · Type 1 NPI

Brett Michael Wilson, DDS

Pediatric Dentistry · Joplin, MO

NPI number 1699759175 Active

Practice location

5227 S Main St, Ste D
Joplin, MO 64804-4916

Fax (417) 553-7998

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2005015029 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1699759175

Brett Michael Wilson, DDS's National Provider Identifier is 1699759175, issued on Nov 30, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Joplin, MO. The record was last updated on Jan 8, 2014.